Form F4 - New Hampshire Public Utilities Commission Page 2
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3FORM F-4
DATA TO BE FILED WITH THE COMMISSION
WHEN A UTILITY SEEKS AUTHORITY TO ISSUE SECURITIES
This section requires the filing of a statement in reasonable detail of plant
additions, contemplated construction and additional working capital requirements, the
total amount of which is equivalent to the proceeds to be received from the issuance of
the new securities. An example of a pro forma statement follows:
(Example)
CONSTRUCTION PROGRAM
AND
SOURCE OF FUNDS
YEARS 2001 – 2002 – 2003 ESTIMATED
DESCRIPTION OF
CONSTRUCTION
TOTAL
2001
2002
2003
List
Total Construction
$500,000
$100,000
$200,000
$200,000
Source of Funds
Short Term Notes
$ 50,000
$ -----
$ 25,000
$ 25,000
Long Term Notes
50,000
-----
25,000
25,000
Bonds
100,000
-----
50,000
50,000
Depreciation
225,000
$ 75,000
75,000
75,000
Retained Earnings
TOTAL FUNDS
$500,000
$100,000
$200,000
$200,000
Also, please file a copy of the Company’s estimated construction budget for the
ensuing year.
3.
Exhibit 2
An statement showing the estimated cost of financing. This should include such
items as legal services, printing, federal documentary tax, trustee services, financial
services, etc.
4.
Exhibit 3
Current Balance Sheet adjusted for financing and headed as follows:
As
Actual
Adjustments
Adjusted
(Submit Journal Entries with explanation for adjustments.)
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