Form 561 Annual Report of Interlocking Positions

FEDERAL ENERGY REGULATORY COMMISSION

Form Approved

ANNUAL REPORT OF INTERLOCKING POSITIONS

OMB No. 1902-0099

(Expires 10/31/2020)

This report is mandatory under Section 305(c)(1) of the Federal Power Act. Failure to report may result in criminal fines, civil penalties and other sanctions as provided by law. The Federal Energy Regulatory Commission does not consider this report to be of a confidential nature.

PLEASE READ THE INSTRUCTIONS ATTACHED BEFORE COMPLETING THIS FORM.

RESPONDENT INFORMATION

1. Full name (Last, First, Middle Initial)

Enter your business address. In the second row enter CITY, STATE, and ZIP CODE. 2. Business Address (Street, City, State, and Zip Code)

If you are authorized by FERC to hold an officer or director position in accordance with Part 45 of the Commission's regulations, enter the docket number of such authorization. (i.e., ID-0001) Please review this list of explanations for not having a docket number, select the number which best explains why you do not have one, and enter it into the "FERC USE" field. Interlocks are between: (1) A public utility and an unrelated public utility holding company (not itself a public utility) (2) A public utility and a top-twenty customer of that utility (3) A public utility and a fuel provider (4) A public utility and a QF per 18 CFR 292.601(c) (5) Filed, waiting for assignment of ID from FERC (6) A public utility and a CNEN (see 18 CFR 131.31) (7) An electrical equipment provider that does not supply the public utility in which the officer/director is affiliated. (8) A public utility and the holding company of that public utility (9) A public utility and a bank, trust co. or securities issuer, insurance co. that is NOT authorized by law to underwrite or participate in the marketing of securities of a public utility (see FPA Section 305(b)(2)(B)) FERC USE:

Enter the calendar year to which the information provided in this form applies. 3. Report Year Ending

If you are authorized by FERC to hold an officer or director position in accordance with Part 45 of the Commission's regulations, enter the docket number of such authorization. (i.e., ID-1234) 4. Docket #

Enter the date of the latest docket authorization you received from this Commission. 5. Latest Date Authorized

Enter the name of the public utility or public utility holding company making the filing on behalf of the officer/director stated in 1. 6. Mail to Company

Business name, if different from that provided in "Mail to Company".

PUBLIC UTILITY DATA

Enter the exact legal name of each public utility and/or the name of each company within the public utility's holding company system where you held an executive position. (1) Name of Public Utility

Choose the appropriate code from the drop-down list provided, that best describes the public utility executive position you held. Code Name Dir Director CEO Chief Executive Officer PRES President VP Vice President SEC Secretary TREA Treasurer GM General Manager COMP Comptroller PURA Chief Purchasing Agent OEP Other Executive Position (2) Position Code(s)

Enter the name of each public utility for which you held an executive position. (1) Name of Public Utility

Choose the appropriate code from the drop-down list provided, that best describes the public utility executive position you held. Code Name Dir Director CEO Chief Executive Officer PRES President VP Vice President SEC Secretary TREA Treasurer GM General Manager COMP Comptroller PURA Chief Purchasing Agent OEP Other Executive Position (2) Position Code(s)

INTERLOCKING ENTITY DATA

Enter the exact legal name of each entity for which you held an interlocking position. (3) Name of Entity

Choose the appropriate code from the drop-down list provided, that best describes the public utility executive position you held. CODE NAME DIR Director CEO Chief Executive Officer PRES President VP Vice President SEC Secretary TREA Treasurer GM General Manager COMP Comptroller PURA Chief Purchasing Agent PART Partner APPT Appointee REP Representative OEP Other Executive Position (4) Position Code(s)

Choose the appropriate code from the drop-down list provided, that best describes the type of interlocking entity you listed. CODE Description FIN Investment bank, bank holding company, foreign bank or subsidiary thereof doing business in the United States; other organization primarily engaged in the business of providing financial services or credit; mutual savings and loan association. FINI Insurance company. SECU Entity authorized by law to underwrite or participate in the marketing of securities of a public utility. ELEQ Entity which produces/supplies electric equipment for the use of any public utility. FUEL Entity which produces/supplies coal, natural gas, nuclear fuel, or other fuel for use by any public utility. 20CL Entity specified in 18 CFR 46.3 (one of the 20 largest purchasers of electric energy from a utility). CNEN Entity which is controlled by any one of the above named entities. 305B Entity referred to in Section 305(b) of the Federal Power Act (not otherwise identified above.) (5) Type Code

Enter the aggregate amount of revenue (rounded to the nearest $100,000), received from producing or supplying electrical equipment to any public utility named herein, during the subject calendar year, if applicable. (6) Total Revenue ($)

Signature:

Reason for not having a signature:

Date:

Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et seq.) requires us to inform you the information collected in the FERC-561 is necessary for the Commission to evaluate its incentive rates policies, and to demonstrate the effectiveness of these policies. Further, the FERC-561 filing requirement allows the Commission to track the progress of electric transmission projects granted incentive-based rates, providing an accurate assessment of the state of the industry with respect to transmission investment, and ensuring that incentive rates are effective in encouraging the development of appropriate transmission infrastructure. Responses are mandatory. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. Public reporting burden for reviewing the instructions, completing, and filling out this form is estimated to be 15 min. per response. This form has been assigned OMB Control Number 1902-0099. Send comments regarding the burden estimate or any other aspect of this form to [email protected], or to the Office of the Executive Director, Information Clearance Officer, Federal Energy Regulatory Commission, 888 First St. NE, Washington, DC 20426.

Format Number FERC 561 (REVISED 09/2014)