DM 1g06c. i J.I %I. OAffl Fax: (207) April 17, 2018
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1 , DM 1g06c 1 C. N. Brown Way Ar p. 0. Box 200 South Paris, Maine f Phone (207) i J. %. OAffl Fax: (207) E L E C T R C T Y Toll Free: JvP1EL11 April 17, 2018 Ms. Debra A. Howland Executive Director and Secretary New Hampshire Public Utilities Commission 21 South Fruit Street, Suite 10 Concord, NH RE: DM C.N. Brown Electricity, LLC Renewal Registration of Aggregator Pursuant to Rule PUC Dear Ms. Howland: Please find enclosed an original and two copies of C.N. Brown Electricity s Renewal Registration ofaggregator pursuant to Rule PUC Also enclosed is a check in the amount of $ payable to the NH Public Utilities Commission for said renewal. Please feel free to contact me with any questions regarding this matter. can be reached at or via at kenc@cnbrown.com. Sincerely, Ken Cannel Vice President Enclosure
2 New Hampshire Public Utilities Commission 21 South Fruit Street, Suite 10 Concord, NH Electric Aggregator Regislration Rev 4/17/2018 Page 1 of 3 Electric Load Aggregation Application Form This form may be used to: (1) apply for initial registration as an electric load aggregator in New Hampshire, (2) apply for renewal of registration as an electric load aggregator in New Hampshire, and (3) notify the Commission of any changes to information in a previously-filed electric aggregator application form. This form is provided as a convenience for filing only; you are required to provide all information specified under when applying for initial or renewal registration as an electric aggregator, but you are not required to use this form when doing so (a) (b) (c) ndicate whether this application is for an initial registration or for a renewal. nitial D Renewal Legal Trade (d/b/a) (if aoolicablel Applicant's General nformation C.N. Brown Eiectricitv.LLC C.N. Brown Enerav South Paris, ME Electricitv@CNBrown.com Website Address (if applicable) Provide the name(s), title(s), business address(es), telephone number(s), and address(es) of the applicant, if an individual, or of the applicant's principal(s), 1 if the applicant is anything other than an individual. Use additional sheets if your response exceeds the space provided on the form. Jefferv Jones President Address South Paris, ME jeffi@cnbrown.com Ken Cannell Vice President South Paris, ME Kenc@cnbrown.com Lori HemmerdinAer Sales Manaaer South Paris, ME lorih@cnbrown.com 1 "Principals" means, for a corporation, any of its officers, directors, or controlling shareholders, for a limited liability company, any of its managers or controlling members, for a partnership, any of its general partners, and for any other business entity, any of its personnel exercising executive functions and any of its controlling equity owners. Nh Aggtega!or Renewal
3 New Hampshire Public Utilities Commission 21 South Fruit Street, Suite 10 Concord, NH Electric Aggregator Registration Rev. 4116/2018 Page 2 of (d) Toll-Free (if available) Customer Service Contact Lori Hemmerdinaer Sales Manaaer electricity@cnbrown.com ( e )( 1 ) Customer Complaints Contact Lori Hemmerdinaer Sales Manager South Paris ME lorih@cnbrown.com (e)(2) Regulatory Compllance Matters Contact Lori Hemmerdinger Sales Manaaer South Paris. ME lorih@cnbrown.com (e)(3) Commission Assessment Payments Contact Lori Hemmerdinaer Sales Manaaer 1 CN Brown Wav, PO Box 200 South Paris, ME lorih@cnbrown.com (1) (9) Separate Attachments: Business Authority and Trade Provide, as a separate attachment, evidence of the applicant's authorization to do business in New Hampshire from the New Hampshire secretary of state by submitting either of the following: (1) a recent printout of the applicant's listing on the N.H. Secretary of State website with the status "n Good Standing" or words of similar import; or (2) a copy of a certificate from the N.H. Secretary of State's office stating that the applicant is authorized to do business in New Hamoshire. Provide, as a separate attachment, evidence of the applicant's registration of the trade name, if any, to be used by the applicant in New Hampshire from the New Hampshire secretary of state by submitting either of the following: (1) a recent printout of the applicant's trade name on the N.H. Secretary of State website with the status "Active" and indicating that the trade name is owned by the applicant; or (2) a copy of a certificate from the N.H. Secretary of State's office indicating that the applicant has registered as doing business under the trade name. Nh AQoregator Ren1W
4 New Hampshire Public Utilities Commission 21 South Fruit Street, Suite 10 Concord, NH Electric Aggregator Registration Rev 4/16/2018 Page 3 of (h)(1) (h)(2) (h)(3) (h)(4) (h)(5) Statements Regarding Applicant and its Principals Please respond to each of the following questions with either "Yes" or "." Has applicant or any of its principals ever been convicted of any felony that has not been annulled by a court? Has applicant or any of its principals, within the 10 years immediately prior to application, had any civil, criminal, or regulatory sanctions or penalties imposed against it, him, or her pursuant to any state or federal consumer protection law or requlation? Has applicant or any of its principals, within the 10 years immediately prior to application, settled any civil, criminal, or regulatory investigation or complaint involving any state or federal consumer protection law or requlation? s applicant or any of its principals currently the subject of any pending civil, criminal, or regulatory investigation or complaint involving any state or federal consumer protection law or regulation? Has applicant or any of its principals been denied authorization to provide competitive electricity supply service or electric aggregation service in any other state or jurisdiction? f an affinnative answer is provided to any item above, then provide a detailed explanation of the occurrence and the related circumstances, Use additional sheets as needed. Other States m Please list other states or jurisdictions in which the applicant currently conducts business relating to the aggregation of electric customers ) Statement Regarding Supplier Representation Please respond to the following question with either "Yes" or "." s the applicant representing any supplier interest? MANE f the response to the preceding question is "Yes," please list the supplier(s) represented. Use additional sheets if needed (k) (1) and(m) Expected Marketing Start Date Provide the date upon which the applicant expects to commence marketing its services to customers in New Hampshire. Attestation and Signature BY SGNNG BELOW, THE APPLCANT REPRESENTATVE CERTFES THAT T HAS THE AUTHORTY TO FLE THE APPLCATON ON BEHALF OF THE AGGREGATOR AND ATTESTS THAT THE CONTENTS OF THE APPLCATON ARE TRUTHFUL, ACCURATE, AND COMPLETE. RENEWAL Date // Sifnature of the applicant or its authorized representative : KEN CANNEL 4/17/18 Date : VCE PRESDENT Filing nstructions 1) Mail an original and two paper copies of this form and all separate attachments to: Executive Director, NHPUC, 21 South Fruit St., Suite 10, Concord, NH ) a PDF of this form and all separate attachments to: Executive.Director@[!uc.nh.gov Nh AQgregator Renewal
5 4/16/2018 QuickStart DASHBOARD Welcome C.N. Brown User Last Login: 04/16/2018 "-:,, ' (/ONUNE/ONUNEDASHBOARD/ONLN D dst?femblfome) D: Cnbrown :26 PM BUSNESS SEARCH VONUNE/BUSNESSNQURE) VERFY CERTFCATE VONUNE/BUSNESSNQURE/VERFYL l BUSNESS SERVCES ADMNSTRATON SERVCES ucc MY PROFLE TRANSACTON DETALS HELP,- LOGOUT (/ONLNE/ACCOUNT) Search Business s Search Result LCERTFlCATE) Business C.N. BROWN ELECTRCTY, LLC (/online/businesslnquire/businesslnformation? business!d=573950) Page 1 of 1, records 1 to 1 of 1 Business Homestate D C.N. BROWN ELECTRCTY, LLC 0 Monday, April 16, 2018 Principal Office lcn Brown Foreign Way, Limited South Liability Paris, Company ME, 04281, USA LOGOUT (/online/accoun lslogout= True) Registered Agent Previous Business Type Address Status Docusearch, Good nc. Standing Back NH Department of State, 107 rth Main St. Room 204, Concord, NH Contact Us {{on!ine/home/contactus). Version 2.l O 2014 PCC Technology Group, LLC, All Rights Reserved. 1/1
6 State of New Hampshire Department of State 2018 ANNUAL REPORT Filed Date Filed: 4/10/2018 Effective Date: 4/10/2018 Business D: William M. Gardner Secretary of State BUSNESS NAME: C.N. BROWN ELECTRCTY, LLC BUSNESS TYPE: Foreign Limited Liability Company BUSNESS D: ST A TE OF FORMATON: Maine PREVOUS PRNCPAL OFFCE ADDRESS CN Brown Way POBox200 South Paris, ME, 04281, USA South Paris, ME, 042 1, USA NEW PRNCPAL OFFCE ADDRESS 1 CN Brown Way POBox200 South Paris, ME, 04281, USA South Paris, ME, 042 1, USA REGSTERED AGENT AND OFFCE REGSTERED AGENT: Docusearch, nc. (6227) REGSTERED AGENT OFFCE ADDRESS: 63 Pleasant Street,, Concord, NH, 03301, U A PREVOUS MAJLNG ADDRESS W MALNG ADDRESS NACSCODE OTHER OTHER Electricity Aggregator Broker. PRNCPAL PURPOSE(S) NACS SUB CODE MANAGER/ MEMBER NFORMATON NAME BUSNESS ADDRESS TTLE C.N. Brown Electricity LLC 1 CN Brown Way, South Paris, ME, 04281, USA Manager, the undersigned, do hereby certify that the statements on this report are true to the best ofrp.y infonnation, knowledge and belief. : Manager Business : C.N. Brown Electricity LLC Signature: Lori Hemmerdinger of Signer: Lori Hemmerdinger of Signer: Other Mailing Address - Corporation Division, NH Department of State, l 07 rth Main Street, Room 204, Concord, NH Physical Location - State House Annex, 3rd Floor, Room 317, 25 Capitol Street, Concord, NH Phone: (603) Fax: (603) corporate@sos.nh.gov Website: sos.oh.gov - Page 1 of 1 -
7 State of New Hampshire Department of State Filed Oatc Filed: 07/12/2016 ETective Date:07/12/2016 Business D: William M.Oardncr Secretary of State Fonn FLLC l RSA 304-C: 175 APPLCATON FOR REGSTRATON AS A FOREGN LMTED LABLTY COMPANY PURSUANT TO THE PROVSONS OF THE NEW HAMPSHRE LMTED LABLTY COMPANY LAWS, nm UNDERSGNED HEREBY APPLES FOR REGSTRATON TO TRANSACT BUSNESS ln NEW HAMPSHRE AND FOR THAT PURPOSE SUBMTS THE FOLLOWNG STATEMENT: FRST: The name of the limited liability company is C.N. BROWN ELECTUClTY, LLC SECOND:The name which it proposes to register and do business in New Hampshire is C.N. BROWN ELECTRCTY, LLC T RD: t is formed under the laws of Maine FOURTH: The date of its formation is 06/18/2012 DURATON: The period of duration is Perpetual FFTH: The nature of the business or purposes to be conducted or promoted in New Hampshire is NACSCODE OTHER/ Electricity Aggregator Broker SXTH: The name of it's registered agent N NEW HAMPSHRE is >ocusearch, nc. and the physical address, of its initial registered office N NEW HAMPSHRE is 63 Pleasant Street,, Concord, N, 03301, USA NACS SUBCODE.;,_ SEVENT : The sale or offer for sale of membership interests of the limited liability company will comply with the requirements of the New Hampshire U nifomt Securities Act (RSA 421-B). PRNCPAL OFFCE ADDRESS: PRNCPAL OFFK'.E BUSNESS ADDRESS PRNCPAL OFFCE MALNG ADlJRESS 1 CN Brown Way, South Paris, ME, 04281, USA PO Box 200, South Paris, ME, 04281, llsa Mailing Address Corporation Division, NH Department of State, 07 rth Main Street, Room 204, Concord, NH 0330 l-4989 Physical Location State House Annex, 3rdFloor, Room 317, 25 Cupitol Street, Concord, NH Phone: (603) Fax:(603) corporale@sos.nh.gov Website: sos.nh gov
8 APPLCATON FOR REGSTRATON AS A 1-'0REGN UMTED LABLTY COMPANY Form FLLC-1 (Cont.) C.N. BROWN ELECTRCTY, L.C CERTU'Y: M' By checking this box and continuing, each signatory certifies that the information providt:d herein is true, accurntc, and complete to the best of his/her knowledge and belief, and that he/she has authorized the affixing of his/her electronic signature in accordance with the Electronic Signatures in Global and National Commerce Act (e-sign) and N.11. RSA 294-E. Further, each signatory understands that his/her electronic signature has full legal effect and enforceability and he/she intends this form, as signed, to be filed with the office of the New Hampshire Secretary of State. EHECTVE DATE: This statement shall be effective from: 07/12/2016 Signature: Vicki Merrill : Controller Date signed: 07/13/2016 Complete address of person signing: 1 CN Brown Way, South Paris, ME, 04281, USA tice: The membership interests of the limited liability company: ) have been registered or when offered will be registered under RSA 421-B; 2) are exempted or when offered will be exempted under RSA 421-B; 3) are or will be offered in a transaction exempted from registration under RSA 421 8; 4) are not securities under RSA 421-B; OR 5) are federal covered securities under RSA 421-B. The statement above shall not by itself constitute a registration or a notice of exemption from registration of securities within the meaning of sections 448 and 461 (i)(3) of the United States nternal revenue Code and the regulation promulgated thereunder. DSCLAMER: All documents filed with the Corporation Division become public records and will be available for public inspection in either tangible or electronic form. ailing Address- Corporation Division, NH Department of State, 107 rth Main Street, Room 204, Concord, NH Physical Localioo - Slate House Annex, 3rdFloor, Room J 17, 25 Capitol Street, Concord, NH Phone: (603) Fax:(603) corporale@sos.nh gov Website: sos.oh.gov
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