Annual Report Template - Wyoming Public Service Commission Page 2

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I. IDENTITY OF REPORTING UTILITY
Please provide a copy of a corporate organizational chart showing subsidiaries, affiliates
and parent companies.
1.
Exact legal name of utility.
2.
Address
3.
Date of incorporation or organization.
4. Is the Company a:
r
C-Corporation
r
S-Corporation
r
Partnership
r
Sole Proprietorship
r
Other (please specify)
II. HISTORY OF COMPANY
1.
Full title of company if different from 1 above.
2.
Date of reorganiza tion or consolidation if different from 3 above.
3.
State of incorporation or organization.
4.
Date when company first began Wyoming operations.
5. Total Number of Wyoming Customers:
2
Water Utilities

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