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1 ontrol uber : 4427 Ite uber: 1 Addendu StrtPge :
2 :,,..,. W., Pursunt to P SBSTATIV R «_..,+.F Registrtion For for Poer Genertion opnies nd Self-Genertors hek only one of the folloing. q e self-genertor registrtion e poer genertion opny registrtion q e WG/PG q Aending self-genertor registrtion q Aending PG registrtion If filing n endent, hek ll pplible boxes nd fill in only the setions of this for tht re pplible to your endent: q e hnge endent q hnge in onership/ontrol q Registrtion relinquishent Registrtion nuber: q Fility/output pity hn1 q e generting plnt/fility 7: q ther r tv 3 - t Provide n explntion, if neessry: {ry s Prt B - Applible to Registrtion of Self-Genertors 1. Registering Prty egl ne: Texs business ddress: ity: ZIP: Prinipl ple of business: ontt Inforti on (for ll ouniti ons) e: Title: Address: ity: Stte: ZIP: il: Phone: Fx: pdted: 1/4/13 Registrtion For for Poer Genertion opnies nd Self-Genertors Pge 1 of 4
3 Prt - Applible to Registrtion of Poer Genertion opnies Registering Prty egl ne: Texs Poer Reserve, Trde/oeril ne: Texs Poer Reserve Texs business ddress: 35. St. Pul Street, Suite 29 ity: Dlls ZIP: 7521 Prinipl ple of business: klho ontt Inforti on (for ll ouniti ons) e: lizbeth Gry Address: Glssen, Srlte 4- Title: \/P orporte >prrill>ns ity: klho ity Stte: (=)K ZIP: I31,t.? il: ellzbt-th((z>txspoerreserv-;.o Phone: Fx: 4.`.-52TB es n d type s. business of the registering p rty's orporte p rent o pnies perentges. onershi p e ( press nter Key for ultiple entries) Types of business % of onership Poer Developer, F3ry/St:ll Pooi Wlters Poer Interntionl I_ 1 Genertion quipent 4. Desri pti o n of the type s of servies j b y the registering p rty pertin to generti o n the eletriity InStrA. on rid operte 9 93 MW Industril bsed dlesel/nturnl gs fired poer qerlerjlori to provli:; eletriity servies t Industril lients in the nergy Relibility ounil f _Texs region (`[.1'R(._,1-) to 111l("so-, the relibility of por supply nd to generte svings in eletril ost to the rndustrrfl lient Prtiipte it) vrious Dend Response ('DR") energy progrs through R)7. Provide eletriity to the rel tie rket. 5. e n d o rporte relti onshi p. buys n d sells eletriity t h olesle sells eletriity t retil in Texs,.. unii p lly on ed utility in Texs e (press nter Key for ultiple entries) orporte reltionship 6. If pp lible, to this. Su pp leentl Inforti o n, desri bed in the l b eled "Atthent pdted: 1/4/13 Registrtion For for Poer Genertion opnies nd Self-Genertors Pge 2 of 4
4 AFFIDAVIT (Must be notrized by publi notry in nd for the Stte of Texs) STAT F TXAS TY F BFR M, the undersigned uthority, on this dy personlly ppered the undersigned, ho, fter being duly sorn, stted on his or her oth tht he or she is entitled to ke this Affidvit, nd tht the stteents ontined belo nd in the foregoing re true nd orret. hek one of the folloing boxes: q I n uthorized representtive of the registering prty, hih is self-genertor. I n uthorized representtive of the registering prty, hih is poer genertion opny nd ser tht the opny: (A) Genertes eletriity tht is intended to be sold t holesle; (B) () Does not on trnsission or distribution fility in this stte other thn n essentil interonneting fility, fility not dedited to publi use, or fility otherise exluded fro the definition of "eletri utility" under P SBSTATIV R 25.5; nd Does not hve ertifited servie re. I ser or ffir tht I hve personl knoledge of the fts stted in the tthed registrtion, tht I opetent to testify to the, nd tht I hve the uthority to subit this registrtion for on behlf of the registering prty. I further ser or ffir tht ll stteents de in the registrtion for re true, orret nd oplete nd tht ny substntil hnges in suh infortion ill be provided to the Publi tility oission of Texs in tiely nner. I ser or ffir tht the registering prty understnds nd ill oply ith ll requireents of the pplible l nd rules.,...,..... Signture of Authorized Representtive Printed e s'or.y SADRA AR SMITH My oission xpires My 17, xt.'j 1 l.'(; ` J' G :i _i V,(-;J e of Registering Prty Sorn nd subsribed before e this-49-dy of &&tvi;4_ Month Yer (_. otry Publi in nd for the Stte of Texs pdted: 1/4/13 Registrtion For for Poer Genertion opnies nd Self-Genertors Pge 3 of 4
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