Annual Pipeline Report OF THE COMPANY ADDRESS FOR THE YEAR ENDING DECEMBER 31, 2017 TO THE LOUISIANA TAX COMMISSION Post Office Box 66788 Baton Rouge, LA 70896 225.219.0339
SCHEDULE NO. 1 ANNUAL PIPELINE REPORT OF THE MADE TO THE LOUISIANA TAX COMMISSION (UNDER ACT 703 OF 1976) For the Year Ending December 31, 2017 Schedules to be filed with the Louisiana Tax Commission, Post Office Box 66788, Baton Rouge, LA 70896, on or before April 1 st. If a corporation, indicate the State or Country of incorporation: Location of principal office: Location of principal business establishment in Louisiana: Location of primary business connection in Louisiana: Name of Company Agent: Address of Such Agent: Name of Agent upon whom process may be served: Address of Such Agent: Prepared By: Phone Number: Name and Address of Officer to whom correspondence concerning this report should be addressed: NAME: ADDRESS: TITLE: PHONE NUMBER: CITY STATE ZIP CODE FAX NUMBER: E-MAIL: NAME AND ADDRESS OF OFFICERS TITLE NAME ADDRESS PRESIDENT: VICE-PRESIDENT: SECRETARY: TREASURER: GENERAL MANAGER: GEN. SUPERINTENDENT: Pipeline Report1.doc 12/22/2017
SCHEDULE NO. 1A STATEWIDE SYSTEM RECAP SCHEDULE NO. 3 LENGTH (MILES) DESCRIPTION (SIZE, TYPE, ETC.) Schedule No. 4 Schedule No. 5 Schedule No. 6 Schedule No. 7 Schedule No. 8 Schedule No. 9 Schedule No. 10 TOTALS: Pipeline Report1A.doc
SCHEDULE NO. 2 PARISH RECAP DESCRIPTION Schedule No. 3 Schedule No. 4 Schedule No. 5 Schedule No. 6 Schedule No. 7 Schedule No. 8 Schedule No. 9 Schedule No. 10 Pipeline Report2.doc
SCHEDULE NO. 3 LINES ONLY LENGTH (MILES) DESCRIPTION (SIZE, TYPE, ETC.) Pipeline Report3.doc
SCHEDULE NO. 4 OIL AND GAS STORAGE TANKS - OIL AND GAS IN STORAGE OIL AND GAS STORAGE TANKS SIZE IN BARRELS DATE OF CONSTRUCTION TYPE REMAINING USEFUL LIFE OIL AND GAS IN STORAGE TYPE OF PRODUCT QUANTITY PRICE PER BBL OR MCF Pipeline Report4.doc
SCHEDULE NO. 6 LIST OF REAL ESTATE (LAND) LOCATION (LIST BY WARDS) DESCRIPTION YEAR ACQUIRED Pipeline Report6.doc
SCHEDULE NO. 7 BUILDINGS AND REAL ESTATE IMPROVEMENTS LOCATION (LIST BY WARDS) DESCRIPTION YEAR ACQUIRED Pipeline Report7.doc
SCHEDULE NO. 8 MACHINERY AND EQUIPMENT LOCATION (LIST BY WARDS) DESCRIPTION YEAR ACQUIRED TOTALS: Pipeline Report8.doc
SCHEDULE NO. 9 OTHER MOVABLE PROPERTY Under this schedule, include all materials and supplies, tools, furniture and fixtures, loading racks, watercraft and floating equipment, airplanes, merchandise and all other property located in the several parishes of Louisiana and not elsewhere listed in this report. *Detailed information showing account number, description, location, age and cost should be attached to each parish. DESCRIPTION Materials and Supplies Tools Furniture and Fixtures Loading Racks Watercraft and Floating Equipment Airplanes Merchandise Communications Equipment All Other Property: (Specify) Pipeline Report9.doc
SCHEDULE NO. 10 CONSTRUCTION WORK IN PROGRESS (CWIP) LOCATION (LIST BY WARDS) LEGAL DESCRIPTION YEAR ACQUIRED TOTALS: Pipeline Report10.doc
SCHEDULE NO. 10A EXEMPT PROPERTY DESCRIPTION NET BOOK VALUE Licensed Vehicles: Other Exemptions: TOTALS: Pipeline Report10A.doc
SCHEDULE NO. 11 REMARKS ENTER ANY NECESSARY EXPLAINATION OF ITEMS IN THE SCHEDULE CORRESPONDING WITH THE RESPECTIVE NUMBERS. SCHEDULE NO. SCHEDULE NO. SCHEDULE NO. SCHEDULE NO. SCHEDULE NO. SCHEDULE NO. STATE OF PARISH OF Before me, the undersigned authority, personally came and appeared, Who, being duly sworn, deposes and says that the foregoing return has been prepared under my directions, from the original books, papers and records of the taxpayer and that the figures, values and other data shown herein are complete, true and correct, according to the best of my knowledge, information and belief. Sworn to and subscribed before me this day of, 20. NAME OF OFFICER NOTARY PUBLIC Pipeline Report11.doc 12/22/2017