PUBLIC UTILITIES COMMISSION SAMPLE FORM FOR FILING: A NOTICE OF INTENT TO PROVIDE ELECTRIC AGGREGATION SERVICES

Transcription

1 ~A~ STATE OF NEW HAMPSHIRE PUBLIC UTILITIES COMMISSION SAMPLE FORM FOR FILING: A NOTICE OF INTENT TO PROVIDE ELECTRIC AGGREGATION SERVICES NOTE: When completing this fonn electronically, using the tab key after addressing each item will the cursor to the next requirement or blank to be filled in Please be certain to include all necessary attachments. This signed notice of intent, together with an electronic copy on diskette, pursuant to Puc 202, shall be ified with the Executive Director and Secretary of the New Hampshire Public Utilities Commission (Commission). Any omissions and/or deficiencies which need to be corrected will be completed in a timely manner or the Commission may close this proceeding without prejudice. 1. Please check the appropriate box: [~] ORIGINAL NOTICE RENEWAL NOTICE 2. Aggregator s legal name: Argyle Indusrties LLC 3. Trade name(s) under which the aggregator will operate: Energy Choice Solutions,New England 4. Business address: (1) 280 Arrow Head Road (2) (3) Marshfield MA 2050 (City) (State) (Zip Code) 5. Principal place of business: 280 Arrow Head Road, Marshfield. MA Telephone number: Toll free: or Facsiniilenumber: address: steveargyle~energychoicesolutions.com 9. Name, title, business address, telephone number and facsimile number of the aggregator s principal officers: (File this on a separate page(s) labeled Exhibit A ) Page 1 of 4

2 10. The toll free telephone number of the customer service contact person: Page 2 of 4

3 11. When filing an ORIGiNAL notice of intent, a copy of the aggregator s authorization to do business in New Hampshire from the New Hampshire Secretary of State: (Attach as Exhibit B ) 12. A description of the geographic areas of New Hampshire in which the aggregator intends to provide service, described by a distribution company s existing franchise area, existing town boundaries, or a map with the boundary limits delineated: National Grid. NHEC. PSNH. Unitil. 13. A statement that the aggregator is not representing any supplier interest or a listing of any supplier interest the aggregator intends to represent: Argyle Industries BDA:- Energy Choice Solutions, will be an Independent Aggregator and will facilitate or otherwise arrange for the purchase and sale of electricity and related services to New Hampshire retail customers. 14. Payment of a $ filing fee to the New Hampshire Public Utilities Commission must accompany/ the original notice of intent (see below). 15. An electronic copy of this notice of intent (on diskette) is included. YES~] NO NOTE: Any municipal entity that acts as an aggregator for its citizens shall NOT be required to pay a registration fee. There is NO fee to renew an aggregator s registration provided that the renewal notice of intent is made in a timely manner. Each aggregator shall re-file with the Commission an up-to-date written notice of intent to provide service as an aggregator every 2 years on or before its original notice anniversary date, which is the date on which the Conmussion received the applicant s initial notice of intent. Unless additional time is required to review the notice of intent and the Commission extends the review period, an aggregator may begin operating within the state 45 days after filing a completed notice of intent with the Conmussion. This notice of intent and all future correspondence should be sent to: Ms. Debra A. Howland Executive Director and Secretary State of New Hampshire Public Utilities Commission 21 S. Fruit St, Suite 10 Concord, NH Preparer s Name and Title: Jane Argyle. Owner I Manager. Page 3 of 4

4 16. Preparer s Si~ature: Page 4 of 4

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6 Exhibit A Argyle Industries LLC. dba : Energy Choice Solutions, New England. 280 Arrow Head Road, Marshfield, MA Toll Free Phone: Fax: Principal Officers: - Jane Argyle, Manager! Owner. Stephen Argyle, Partner. Page 1 of 1

7 $t~th rrf ~fti ~tmp~ir2 ~rjrnrinu~ni uf ~I ~th CERTIFICATE OF REGISTERED TRADE NAME OF Energy Choice Solutions, New England This is to certi1~y that Argyle Industries, LLC registered in this office as doing business under the Trade Name Energy Choice Solutions, New England, at 280 Arrowhead Road Marshfield, MA on June 19, The nature of business is electric aggregation. Expiration Date: June 19, 2014 Business ID#: in TESTIMONY WHEREOF, I hereto set my hand and cause to be affixed the Seal of the State of New Hampshire, this 19th day of June, 2009 A.D. William M. Gardner Secretary of State ~H ~i7~ Q~t I Oi~

8 ~Tsso.oo atatec~w Raize HELP LiNE TOD ACCESS: RELAY NH ~t~th uf ~1u ~ampzkir~ Location: Mailing Address: patthluttt Of $t~xt~ Corporation Division Concord Tel State House Annex * 3rd floor Corporation Division, Department of State 107 North Main St., Concord, NH Filed Date Filed: Business ID: William N. Gardner Secretary of State APPLICATION FOR REGISTRATION OF TRADE NAME (PLEASE TYPE OR PRINT CLEARLY) 1. BUSINESS NAME: j~ttç~ CHclci ~c2llftfl)n~ ~I,~2LJ (Name cannot include INC. or other corporate designation) 2. BUSINESS ADDRESS: No. & Street (and P.O. Box, ifany) LOLJH~~4c~ A. ~C~jU~ bqo~icn~ii i& L,.L.. C. TYPE OR~PitiNTNAl.tE ~M9y~~~C) I Signature -::~ -~ M1v~c,iac) City) town 3. BRIEF DESCRIPTION OF KIND OF BUSINESS TO BE CARRIED ON: ~ (~4,~7j~( Sr7Z.Vic-C~. 4~.DATE~BUSINESSfjRGj%.3 ~IZED: : R(Th t-. ~ W05 :~ Q ~ ~..~.r~ ~ ~c(~onth~day)ye~r) ;,~...~.~ ~.:~ ~ ~.ti; MA State QZOSC) 5. APPLICANTS NAME, ADDRESS & SIGNATURE. IF APPLICANT IS A CORPORATION OR OTHER ENTITY, LIST CORPORATION S OR ENTITY S NAME & TITLE OF PERSON SIGNING. Z~O NO. -. STREET -. 1~JWLi~AO ~A A-f,Ctc~ TOWN/CITY STATE Zip OZO O. ZIP B. TYPE OR. PRINT NAME NO. STREET Signature TOWN/CITY STATE ZIP C. TYPE ORFRINT NAME Signature NO. STREET TOWN/CITY STATE ZIP ~Hi~ 7 ~ ~ ~of?. TYPE OR PRINT NAME NO. STREET Signature TOWN/CITY STATE ZIP V... ~ ~ I t~ <.:.). ~.. ;. I V ~ ;,..L..?. E ~,. ~..i.j, ~ :... -s C. ~ DISCLAIMER: All documents filed with the Corporate~Division become public records and will be available for public:inspection in either V tahgibk 61 elëcironic form: Form I N-I Form TN 1- Appfication for Regatratbn of Trade Name 1 Pace(s) 3/08 RSA ct Miac. TN-i Pg 1 V h T