Public Utility Energy Reporting Form

For Electric Cooperatives that had retail sales of more than 500,000 megawatt hours in 2005, and Municipally-Owned Utilities.

Purpose of this document: As mandated by the 82nd Legislature (2011), beginning April 1, 2012, all electric cooperatives that had retail sales of more than 500,000 megawatt hours in 2005 and all municipally owned utilities must report each year to the State Energy Conservation Office (SECO), on a standardized form developed by SECO, information regarding the combined effects of the energy efficiency activities of the electric cooperative/utility from the previous calendar year, including the annual goals, programs enacted to achieve those goals, and any achieved energy demand or savings goals. [Sections 39.9051 and Section 39.9052 of the Utilities Code]. Please provide all the information requested below.

Section 1: Reporting Entity Information

Question Title

* Data for a consecutive 12-month calendar period:

Beginning Date:

Date

Ending Date:

Date

Question Title

* Reporting Entity Information:

Utility Name:

Contact Person Name:

Contact Person Job Title:

Street Address:

City:

Zip Code:

Phone:

Phone Extension:

Question Title

* Data for a consecutive 12-month calendar period:

Question Title

* Reporting Entity Information:

Question Title

* Utility Type (Municipally-owned or Electric Cooperative):