A-2014-

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Company Number

FORM CNGP-1
ANNUAL REPORT
COMPETITIVE NATURAL GAS PROVIDERS AND AGGREGATORS
of
Name of CNGP
Address
City State Zip Code
Name of Person Responsible for Report
Address if not the same as above
Telephone Number
E-Mail Address
For the Year Ended
December 31, 2014
to the
IOWA UTILITIES BOARD
DES MOINES, IOWA

Form CNGP-1

TABLE OF CONTENTS
Description / Page

Annual Report Instructions

/ 1

General Contact Information

/ 2

Net Assessable Revenue Report

/ 3

Gas Operating Revenues, MCF Sold, and End Users

/ 4 – 6

Additional Information to be provided by CNGPs selling Compressed Natural Gas (CNG)

/ 7

Unclaimed Property

/ 8

Attestation

/ 9

iii Revised 12/14

Form CNGP-1

ANNUAL REPORT INSTRUCTIONS
1.  Filing Date:
Annual Reports are to be filed with the Iowa Utilities Board on or before April 1 as directed in the 199 IAC 23.1(2) at http://efs.iowa.gov/. The blank Form CNGP-1 is posted on our Web site at: http://www.state.ia.us/iub/.
2.  Contact at the Iowa Utilities Board:
Leighann LaRocca
Iowa Utilities Board
1375 E Court Ave RM 69
Des Moines, IA 50319-0069
515/725-7328

3.  Website/E-mail Address of the Iowa Utilities Board:
Web site ...... http://iub.iowa.gov/
EFS Web site ...... http://efs.iowa.gov/
E-Mail Address ......
4.  For more information about filing electronically contact the EFS Help Desk:
Iowa Utilities Board
Phone: 515/725-7337
E-Mail: EFS Help Desk
Business and support hours:
Monday through Friday
8 am to 4:30 pm, except State Holidays

1 Revised 12/14

Form CNGP-1
Annual Report of
/ Year Ended December 31, 2014

GENERAL CONTACT INFORMATION

Please list the address, names, titles, and telephone numbers of persons authorized to receive, act upon, and respond to communications from the Iowa Utilities Board in connection with the below categories.
CNGP Address
and/or
(Street No.) (Street Name) / (P.O. Box)
(City) / (State) / (Zip Code)
A. / General Management Duties / Name
Title / Phone
Fax / E-mail Address
B. / Customer Relations and Complaints / Name
Title / Phone
Fax / E-mail Address
E-mail address for Board Complaints**
C. / 24-Hour Emergency Contact / Name
Title / Phone
Fax / E-mail Address
D. / Iowa Utilities Board Contact* / Name
Title / Phone
Fax / E-mail Address (Required)
*The person whose name is shown will be placed on the Iowa Utilities Board's official mailing list.
**Customer complaints filed with the Board will be sent to your company electronically. Provide a permanent E-mail address where the complaints should be sent.
NET ASSESSABLE REVENUE REPORT
Total
1. Total Iowa Intrastate Gross Operating Revenues / $
Multi-state operations:
The above CNGP (does / does not) operate outside the State of Iowa.
(Circle one of the above)

2 Revised 12/14

IOWA ONLY*
/
Form CNGP-1
Annual Report of
/ Year Ended December 31, 2014
TOTAL IOWA
GAS OPERATING REVENUES, MCF SOLD, AND END USERS
Pages 4 thru 6 of the annual report may be filed with a request for confidentiality pursuant to
199 IAC 1.9(6). The process for requesting confidential treatment is described on the Board’s Web site at http://www.state.ia.us/government/com/util/cngp under the “CNGP Annual Report” heading.
Revenue / MCF Sold / Average Number of End Users
Small / Large / Total / Small / Large / Total / Small / Large / Total
1-14
2-14
3-14
4-14
5-14
6-14
7-14
8-14
9-14
10-14
11-14
12-14
2014 Total / *

“Revenue,” “MCF Sold,” and “Average Number of End Users” are reported by individual utility on pages 5 and 6. The totals for each utility are then to be added together and reported in the table above.

* This amount should match the “Total Iowa Intrastate Gross Operating Revenues” reported on page 3 of this report. The revenue amounts are to include total revenue collected from customers, including gas costs.

Liberty Energy (Midstates) Corporation d/b/a Liberty Utilities
f/k/a Atmos Energy Corporation
GAS OPERATING REVENUES, MCF SOLD, AND END USERS
Revenue / MCF Sold / Average Number of End Users
Small / Large / Total / Small / Large / Total / Small / Large / Total
1-14
2-14
3-14
4-14
5-14
6-14
7-14
8-14
9-14
10-14
11-14
12-14
2014 Total / **
Black Hills Energy
GAS OPERATING REVENUES, MCF SOLD, AND END USERS
Revenue / MCF Sold / Average Number of End Users
Small / Large / Total / Small / Large / Total / Small / Large / Total
1-14
2-14
3-14
4-14
5-14
6-14
7-14
8-14
9-14
10-14
11-14
12-14
2014 Total / **

** The revenue amounts are to include total revenue collected from customers, including gas costs.

Interstate Power and Light Company
GAS OPERATING REVENUES, MCF SOLD, AND END USERS
Revenue / MCF Sold / Average Number of End Users
Small / Large / Total / Small / Large / Total / Small / Large / Total
1-14
2-14
3-14
4-14
5-14
6-14
7-14
8-14
9-14
10-14
11-14
12-14
2014 Total / **
MidAmerican Energy Company
GAS OPERATING REVENUES, MCF SOLD, AND END USERS
Revenue / MCF Sold / Average Number of End Users
Small / Large / Total / Small / Large / Total / Small / Large / Total
1-14
2-14
3-14
4-14
5-14
6-14
7-14
8-14
9-14
10-14
11-14
12-14
2014 Total / **

** The revenue amounts are to include total revenue collected from customers, including gas costs.

ADDITIONAL INFORMATION
TO BE PROVIDED BY CNGPs SELLING COMPRESSED NATURAL GAS (CNG)
Please provide the following information for each CNG retail outlet.
(Add additional sheets if necessary.)
A. / Business Name
Address
City
Date in Operation
Natural Gas Utility
B. / Business Name
Address
City
Date in Operation
Natural Gas Utility
C. / Business Name
Address
City
Date in Operation
Natural Gas Utility
D. / Business Name
Address
City
Date in Operation
Natural Gas Utility
UNCLAIMED PROPERTY (Iowa Only)
Report the amount of unclaimed property of each type, according to the year in which the original liability occurred. For each year, report only the amount of additions to unclaimed property during the year, less any amounts later claimed relating to that year.
UNCLAIMED PROPERTY
Line No.
/ Year / /
Rate Refunds (1)
/ /
Customer Deposits
/ /
A/R Credit Balances
/ / Total
1.
/ 2011 /
$
/ /
$
/ /
$
/ /
$
2.
/ 2012 /
$
/ /
$
/ /
$
/ /
$
3.
/ 2013 /

$

/ /

$

/ /

$

/ /

$

4.

/ 2014 /

$

/ /

$

/ /

$

/ /

$

5.

/ SUB-TOTAL /

$

/ /

$

/ /

$

/ /

$

Report Totals Only as of Year-End for:

6.

/

UNCLAIMED DIVIDENDS (Except Patronage Dividends)

/

$

7.

/

MISCELLANEOUS (e.g., Payroll or Vendor Checks, etc.)

/

$

8.

/

TOTAL - ALL UNCLAIMED PROPERTY (Add Lines 5 thru 7)

/

$

Report the year in which each rate refund was distributed to customers, its Iowa Utilities Board Docket Number, and the amount that remains unclaimed for any refunds reported above.

RATE REFUNDS (1)

/ Year / /

Docket No.

/ Amount

9.

/ / /

$

10.

/ / /

$

11.

/ / /

$

12.

/

Amount pursuant to IOWA CODE § 556 remitted to Treasurer of State in the year

ending December 31, 2014: $

/
Note (1) – References to "RATE REFUNDS" and "DIVIDENDS" apply only to rate-regulated utilities.

8 Revised 12/14

IOWA ONLY*
/
Form CNGP-1
Annual Report of
/ Year Ended December 31, 2014
ATTESTATION
I, / certify that I am the Company Representative
(Type or print the name of the individual)
responsible for the Annual Report of
(Name of Company)
that I have examined the foregoing report, that to the best of my knowledge, information, and belief, all statements of fact contained in said report are true and said report is a correct statement of the business and affairs of the above-named respondent with respect to each and every matter set forth therein during the period from January 1, 2014, through December 31, 2014, inclusive.
Date / , 2015 / /s/
(Signature)
(Title)
(Street and Address)
(City, State, and Zip Code)
(Telephone Number)
(E-mail Address)

9 Revised 12/14