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InformationofAffiliatesorSubsidiaryEntities
Instructions:
FillouttheformorindicateN/Awheretheinformationisnotapplicable.
UseComplementarySheet(CEPRZ01)ifadditionalspaceisrequired.
NewInformation
1.
2.
3.
4.
InformationUpdate
ElectricPowerCompanyName:
Applicant/PresenterName:
Titleofthesupplementedform:
Dateofthesupplementedform:
A. AffiliateorSubsidiaryEntityGeneralInformation
1. CompanyName:
2.
OrganizationalForm:
Corporation
LimitedLiabilityCompany
Society
Other:
3. Jurisdictionwhereitwasorganized:
4. IdentificationNumberoftheDepartmentofStateoftheCommonwealthofPuertoRico:
5. RegistryInformationinotherjurisdictions:
(Includeidentificationorregistrynumbersfromotherjurisdictionsandtheentitiesthathaveissuedsuchnumbersandguardtheregistryinformation.)
B. InformationofOfficesinPuertoRico
1. PrincipalOffice
a.
PhysicalAddress:
b.
PostalAddress:
2. SecondaryOffice
a.
PhysicalAddress:
CEPRB02(Rev.August2015)ContinuationSheetforAffiliateorSubsidiaryEntities
Reference:RegulationonCertification,AnnualFees,andOperationalPlansforElectricPowerCompaniesinPuertoRico,RegulationNo.8618.
Page1of4
b.
PostalAddress:
SecondaryOffice
a.
PhysicalAddress:
b.
PostalAddress:
SecondaryOffice
a.
PhysicalAddress:
b.
PostalAddress:
C. AddressesforReceiptofNotifications
(IndicatetheaddresseswherenotificationsofmattersbeforetheCommissionaretobereceived.)
1.
PhysicalAddress:
2. Authorizedpersontoreceivenotificationspersonally:
3.
PostalAddress:
4. Email:
D. InformationforDesignatedContactbeforetheEnergyCommission
1. Name:
3.
PhysicalWork
Address:
4.
PostalWork
Address:
5. OfficePhone:
7. Email:
2. Position:
6.
MobilePhone:
E. InformationoftheCompanysResidentAgent
1. Name:
2.
PhysicalAddress:
3. PostalAddress:
CEPRB02(Rev.August2015)ContinuationSheetforAffiliateorSubsidiaryEntities
Reference:RegulationonCertification,AnnualFees,andOperationalPlansforElectricPowerCompaniesinPuertoRico,RegulationNo.8618.
Page2of4
4. OfficePhone:
6. Email:
5.
MobilePhone:
F. InformationofPartners,Directors,MembersoftheGoverningBody,andElectric
ServiceCompanyOfficials
1. Name:
PhysicalAddress:
OfficePhone:
Email:
PostalAddress:
2. Name:
PhysicalAddress:
OfficePhone:
Email:
PostalAddress:
3. Name:
PhysicalAddress:
OfficePhone:
Email:
PostalAddress:
4. Name:
PhysicalAddress:
OfficePhone:
Email:
PostalAddress:
5. Name:
Position:
MobilePhone:
Position:
MobilePhone:
Position:
MobilePhone:
Position:
MobilePhone:
Position:
CEPRB02(Rev.August2015)ContinuationSheetforAffiliateorSubsidiaryEntities
Reference:RegulationonCertification,AnnualFees,andOperationalPlansforElectricPowerCompaniesinPuertoRico,RegulationNo.8618.
Page3of4
PhysicalAddress:
OfficePhone:
Email:
PostalAddress:
6. Name:
PhysicalAddress:
OfficePhone:
Email:
PostalAddress:
MobilePhone:
Position:
MobilePhone:
Annexes:(MarkthedocumentsincludedwiththeContinuationSheetforAffiliateorSubsidiaryEntities)
ComplementarySheet(CEPRZ01).
Other:
CEPRB02(Rev.August2015)ContinuationSheetforAffiliateorSubsidiaryEntities
Reference:RegulationonCertification,AnnualFees,andOperationalPlansforElectricPowerCompaniesinPuertoRico,RegulationNo.8618.
Page4of4