(Industrial Generation)
Deadline for Receipt: April 2, 2010

Confidential when completed.

Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.

Completion of the questionnaire is a legal requirement under this Act.

Reporting period January to December, 2009

Schedule #5

Purpose of the Survey

The purpose of this survey is to obtain information on the supply of, and demand for, energy in Canada. This information serves as an important indicator of Canadian economic performance, and is used by all levels of government in establishing informed policies in the energy area. In the case of public utilities, it is used by governmental agencies to fulfill their regulatory responsibilities. The private sectoralso uses this information in the corporate decision-making process.

Confidentiality

Statistics Canada is prohibited by law from releasing any information from this survey which would identify a person, business, or organization, without their permission or without due legal authority. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey data from Statistics Canada.

These survey data will only be used for statistical purposes and will be published in an aggregate form only.

Data Sharing Agreements

To reduce respondent burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data. For further information on data sharing, please see the enclosed reporting guide.

Data Linkage

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Instructions

This schedule is to be completed and returned to Statistics Canada, Manufacturing and Energy Division, Energy Section, Jean Talon Building, Ottawa, Ontario, K1A 0T6 by April 2, 2010. If you require assistance in the completion of the questionnaire, contact the Energy Section by telephoning (613) 951-3087, or by fax at (613) 951-9499.

Fax or Other Electronic Transmission Disclosure

Statistics Canada advises you that there could be a risk of disclosure during the facsimile or other electronic transmission. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Certification

I certify that the information contained herein is substantially complete and correct to the best of my knowledge and belief.
Signature
Date (format: dd - mm - yyyy )

Name of signer (please print)
Official position of signer
E-mail address
Telephone, extension
Fax

Instructions (for industry)

This schedule is to be completed for the station or stations indicated on the label affixed to the questionnaire. Estimate if necessary.

Are there any stations on standby? If yes, please report them in the Notes section.

Value should be the total cost at the station gate. Shaded areas are reserved for Statistics Canada only.

Are the reported fuels consumed for electricity generation only?

• Yes - Please complete part 2 (except the efficiency column)
• No - Please complete part 1 and 2 (report the total amount of fuel(s) used in the boiler(s))

Part 1

What is the actual electrical generator efficiency? (%)

What portion of steam is used to produce electricity? (%)

What is the actual turbine efficiency? (%)

Cogeneration

• Yes
• No - If no, skip to part 2

If “Yes”

Primary Purpose

• Electricity – Internal
• Electricity for industry
• Thermal– Internal
• Thermal for industry

Sub-type

• Combined cycle
• Steam turbine
• Combustion engine diesel
• Natural gas combustion turbine
• Other, specify

Part 2

Fuels Used to Generate Electricity

Solid

Efficiency of the boiler by fuel use (%), Average heat content (kj/kg), Quantity (t) and Total cost ($). Shaded: Generation (MW.h)

• Bituminous coal
  • Canadian
  • Imported
• Subbituminous coal
  • Canadian
  • Imported
• Lignite
• Wood (bark, hog-fuel etc. )
• Petroleum Coke
• Agriculture biomass
• Other biomass (food processing)
• Other biomass - type unknown
• Municipal and other waste
• Other (specify)

Liquid

Efficiency of the boiler by fuel use (%), Average heat content (kj/l), Quantity (kl) and Total cost ($). Shaded: Generation (MW.h)

• Biodiesel
• Ethanol
• Other biofuel
• Light fuel oil (# 1,2,3)
• Heavy fuel oil (# 4,5,6)
  • Canadian
  • Imported
• Propane
• Diesel
• Spent pulping liquor
• Orimulsion
• Other (specify)

Gaseous

Efficiency of the boiler by fuel use (%), Average heat content (kj/m³), Quantity (10³m³) and Total cost ($). Shaded: Generation (MW.h)

• Natural gas
• Coke oven gas
• Methane
• Refinery fuel gas
• Other (specify)

Other

Efficiency of the boiler by fuel use (%), Average heat content (kj/kg), Quantity (kg) and Total cost ($). Shaded: Generation (MW.h)

• Nuclear (Uranium)
• Steam from waste heat (The amount of electricity generated when waste heat is recaptured to run a steam generator.)

Electricity Generation ( MW.h )

Notes

( NAICS 22111 – Electric Power Generation)

Deadline for Receipt: April 1, 2011

Confidential when completed.

Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.

Completion of the questionnaire is a legal requirement under this Act.

Reporting period: January to December, 2010

Schedule #5

Correct pre-printed information if necessary.

Purpose of the Survey

The purpose of this survey is to obtain information on the supply of, and demand for, energy in Canada. This information serves as an important indicator of Canadian economic performance, and is used by all levels of government in establishing informed policies in the energy area. In the case of public utilities, it is used by governmental agencies to fulfill their regulatory responsibilities. The private sector also uses this information in the corporate decision-making process.

Confidentiality

your answers are confidential.

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey data from Statistics Canada.

Information from this survey will be used for statistical purposes only and will be published in an aggregate form only.

Data-Sharing Agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data. For further information on data-sharing, please see the enclosed reporting guide.

Data Linkage

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Instructions

This schedule is to be completed and returned to Statistics Canada, Manufacturing and Energy Division, Energy Section, Jean Talon Building, Ottawa, Ontario, K1A 0T6 by April 1, 2011. If you require assistance in the completion of the questionnaire, contact the Energy Section by telephoning (613) 951-3087, or by fax at (613) 951-9499.

Fax or Other Electronic Transmission Disclosure

Statistics Canada advises you that there could be a risk of disclosure during the facsimile or other electronic transmission. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Certification

I certify that the information contained herein is substantially complete and correct to the best of my knowledge and belief.

Signature
Date (format: dd - mm - yyyy )

Name of signer (please print)
Official position of signer
E-mail address
Telephone, extension
Fax

Instructions

This schedule is to be completed for the station or stations indicated on the label affixed to the questionnaire.

Report only the amount of fuel for the generation of electricity .

Estimate if necessary.

Value should be the total cost at the station gate. Shaded areas are reserved for Statistics Canada only.

Are there any stations on standby? If yes, please report them in the Notes section.

Are the reported fuels consumed for electricity generation only?

If yes, please report them in the Notes Section

Part 1

Cogeneration

• Yes
• No - If no, skip to part 2

If “Yes”

Primary Purpose

• Electricity – Internal
• Electricity for industry
• Thermal– Internal
• Thermal for industry

Sub-type

• Combined cycle
• Steam turbine
• Combustion engine diesel
• Natural gas combustion turbine
• Other, specify

Part 2

Fuels Used to Generate Electricity

Solid

Average heat content (kj/kg), Quantity (t) and Total cost ($). Shaded: Generation (MW.h)

• Bituminous coal
  • Canadian
  • Imported
• Subbituminous coal
  • Canadian
  • Imported
• Lignite
• Wood (bark, hog-fuel etc.)
• Petroleum Coke
• Agriculture biomass
• Other biomass (food processing)
• Other biomass - type unknown
• Municipal and other waste
• Other (specify)

Liquid

Efficiency of the boiler by fuel use (%), Average heat content (kj/l), Quantity (kl) and Total cost ($). Shaded: Generation (MW.h)

• Biodiesel
• Ethanol
• Other biofuel
• Light fuel oil (# 1,2,3)
• Heavy fuel oil (# 4,5,6)
  • Canadian
  • Imported
• Propane
• Diesel
• Spent pulping liquor
• Orimulsion
• Other (specify)

Gaseous

Efficiency of the boiler by fuel use (%), Average heat content (kj/m³), Quantity (10³m³) and Total cost ($). Shaded: Generation (MW.h)

• Natural gas
• Coke oven gas
• Methane
• Refinery fuel gas
• Other (specify)

Other

Efficiency of the boiler by fuel use (%), Average heat content (kj/kg), Quantity (kg) and Total cost ($). Shaded: Generation (MW.h)

• Nuclear (Uranium)
• Steam from waste heat (The amount of electricity generated when waste heat is recaptured to run a steam generator.)

Electricity Generation ( MW.h )

Notes

( NAICS 22111 – Electric Power Generation)

Deadline for Receipt: April 2, 2010

Confidential when completed.

Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.

Completion of the questionnaire is a legal requirement under this Act.

Reporting period: January to December, 2009

Schedule #5

Purpose of the Survey

The purpose of this survey is to obtain information on the supply of, and demand for, energy in Canada. This information serves as an important indicator of Canadian economic performance, and is used by all levels of government in establishing informed policies in the energy area. In the case of public utilities, it is used by governmental agencies to fulfill their regulatory responsibilities. The private sector also uses this information in the corporate decision-making process.

Confidentiality

Statistics Canada is prohibited by law from releasing any information from this survey which would identify a person, business, or organization, without their permission or without due legal authority. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey data from Statistics Canada.

These survey data will only be used for statistical purposes and will be published in an aggregate form only.

Data Sharing Agreements

To reduce respondent burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data. For further information on data sharing, please see the enclosed reporting guide.

Data Linkage

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Instructions

This schedule is to be completed and returned to Statistics Canada, Manufacturing and Energy Division, Energy Section, Jean Talon Building, Ottawa, Ontario, K1A 0T6 by April 2, 2010. If you require assistance in the completion of the questionnaire, contact the Energy Section by telephoning (613) 951-3087, or by fax at (613) 951-9499.

Fax or Other Electronic Transmission Disclosure

Statistics Canada advises you that there could be a risk of disclosure during the facsimile or other electronic transmission. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Certification

I certify that the information contained herein is substantially complete and correct to the best of my knowledge and belief.
Signature

Date (format: dd - mm - yyyy )
Name of signer (please print)
Official position of signer
E-mail address
Telephone, extension
Fax

Instructions

This schedule is to be completed for the station or stations indicated on the label affixed to the questionnaire.

Report only the amount of fuel for the generation of electricity.

Estimate if necessary.
Value should be the total cost at the station gate.

Shaded areas are reserved for Statistics Canada use only.

Are there any stations on standby?
If yes, please report them in the Notes section.

Part 1

Cogeneration

• Yes
• No, If no, skip to part 2

If “Yes”

Primary Purpose

• Electricity – Internal
• Electricity for industry
• Thermal– Internal
• Thermal for industry

Sub-type

• Combined cycle
• Steam turbine
• Combustion engine diesel
• Natural gas combustion turbine
• Other, specify

Part 2

Fuels Used to Generate Electricity

Solid

Average heat content ( kj/kg ), Quantity ( t ), Total cost ( $ ) and Generation ( MW.h )

• Bituminous coal
  • Canadian
  • Imported
• Subbituminous coal
  • Canadian
  • Imported
• Lignite
• Wood (bark, hog-fuel etc. )
• Petroleum Coke
• Agriculture biomass
• Other biomass (food processing)
• Other biomass - type unknown
• Municipal and other waste
• Other (specify)

Liquid

Average heat content ( kj/l ), Quantity (kl), Total cost ( $ ) and Generation ( MW.h )

• Biodiesel
• Ethanol
• Other biofuel
• Light fuel oil (# 1,2,3)
• Heavy fuel oil (# 4,5,6)
  • Canadian
  • Imported
• Propane
• Diesel
• Spent pulping liquor
• Orimulsion
• Other (specify)

Gaseous

Average heat content (kj/m³), Quantity (10³m³), Total cost ( $ ) and Generation ( MW.h )

• Natural gas
• Coke oven gas
• Methane
• Refinery fuel gas
• Other (specify)

Other

Average heat content ( kj/kg ), Quantity (kg), Total cost ( $ ) and Generation ( MW.h )

• Nuclear (Uranium)
• Steam from waste heat (The amount of electricity generated when waste heat is recaptured to run a steam generator.)

Electricity Generation ( MW.h )

Notes

Deadline for Receipt: April 1, 2011

Confidential when completed.

Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.

Completion of the questionnaire is a legal requirement under this Act.

Reporting period: January to December, 2010

Schedule #4

Correct pre-printed information if necessary.

Purpose of the Survey

The purpose of this survey is to obtain information on the supply of, and demand for, energy in Canada. This information serves as an important indicator of Canadian economic performance, and is used by all levels of government in establishing informed policies in the energy area. In the case of public utilities, it is used by governmental agencies to fulfill their regulatory responsibilities. The private sectoralso uses this information in the corporate decision-making process.

Confidentiality

Your answers are confidential.

Statistics Canada is prohibited by law from releasing any information it collects which could identify a person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey data from Statistics Canada.

These survey data will only be used for statistical purposes and will be published in an aggregate form only.

Data-Sharing Agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data. For further information on data-sharing, please see the enclosed reporting guide.

Data Linkage

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Instructions

This schedule is to be completed and returned to Statistics Canada, Manufacturing and Energy Division, Energy Section, Jean Talon Building, Ottawa, Ontario, K1A 0T6 by April 1, 2011. If you require assistance in the completion of the questionnaire, contact the Energy Section by telephoning (613) 951-3087, or by fax at (613) 951-9499.

Fax or Other Electronic Transmission Disclosure

Statistics Canada advises you that there could be a risk of disclosure during the facsimile or other electronic transmission. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Certification

I certify that the information contained herein is substantially complete and correct to the best of my knowledge and belief.
Signature

Date (format: dd - mm - yyyy )
Name of signer (please print)
Official position of signer
E-mail address
Telephone, extension
Fax

Supply

Section 1. Electricity Generated

Megawatt-hours

• Hydro
• Steam
• Nuclear
• Internal combustion
• Combustion turbine
• Tidal
• Wind
• Solar
• Other (specify)
• Total generation

Section 2. Gross Receipts of Electricity

Value in thousands of dollars and megawatt-hours

• Name of System
  • Total

Section 3. Total Supply

Megawatt-hours

Disposition

Section 4. Gross Deliveries of Electricity

Value in thousands of dollars and megawatt-hours

• Name of System
  • Total

Section 5. Electricity Used

Report all electricity consumed (self generated or purchased), i.e. used for own operation or given as compensation. (Please report separately for operations which have different NAICS classifications.List company names and type of compensation or arrangement.)

Total

Section 6. Transmission Distribution and Other Losses

Section 7. Total Disposal

Note: This line must equal Section 3 Total supply

Comments

 

Confidential when completed.

Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.

Completion of the questionnaire is a legal requirement under this Act.

Reporting period: January to December, 2009

Schedule #4

Purpose of the Survey

The purpose of this survey is to obtain information on the supply of, and demand for, energy in Canada. This information serves as an important indicator of Canadian economic performance, and is used by all levels of government in establishing informed policies in the energy area. In the case of public utilities, it is used by governmental agencies to fulfill their regulatory responsibilities. The private sectoralso uses this information in the corporate decision-making process.

Confidentiality

Statistics Canada is prohibited by law from releasing any information from this survey which would identify a person, business, or organization, without their permission or without due legal authority. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey data from Statistics Canada.

These survey data will only be used for statistical purposes and will be published in an aggregate form only.

Data Sharing Agreements

To reduce respondent burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data. For further information on data sharing, please see the enclosed reporting guide.

Data Linkage

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Instructions

This schedule is to be completed and returned to Statistics Canada, Manufacturing and Energy Division, Energy Section, Jean Talon Building, Ottawa, Ontario, K1A 0T6 by April 2, 2010. If you require assistance in the completion of the questionnaire, contact the Energy Section by telephoning (613) 951-3087, or by fax at (613) 951-9499.

Fax or Other Electronic Transmission Disclosure

Statistics Canada advises you that there could be a risk of disclosure during the facsimile or other electronic transmission. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Certification

I certify that the information contained herein is substantially complete and correct to the best of my knowledge and belief.
Signature

Date (format: dd - mm - yyyy )
Name of signer (please print)
Official position of signer
E-mail address
Telephone, extension
Fax

Supply

Section 1. Electricity Generated

Megawatt-hours

• Hydro
• Steam
• Nuclear
• Internal combustion
• Combustion turbine
• Tidal
• Wind
• Other (specify)
• Total generation

Section 2. Gross Receipts of Electricity

Value in thousands of dollars and megawatt-hours

• Name of System
  • Total

Section 3. Total Supply

Megawatt-hours

Disposition

Section 4. Gross Deliveries of Electricity

Value in thousands of dollars and megawatt-hours

• Name of System
  • Total

Section 5. Electricity Used

Report all electricity consumed (self generated or purchased), i.e. used for own operation or given as compensation. (Please report separately for operations which have different NAICS classifications.List company names and type of compensation or arrangement.)

Total

Section 6. Transmission Distribution and Other Losses

Section 7. Total Disposal

Note: This line must equal Section 3 Total supply

Statistics Canada Use

• Residential
• Manufacturing and mining
• All other
• Total

Deadline for Receipt: April 1, 2011

Confidential when completed.

Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.

Completion of the questionnaire is a legal requirement under this Act.

Reporting period: January to December, 2010

Schedule #4

Correct pre-printed information if necessary.

Purpose of the Survey

The purpose of this survey is to obtain information on the supply of, and demand for, energy in Canada. This information serves as an important indicator of Canadian economic performance, and is used by all levels of government in establishing informed policies in the energy area. In the case of public utilities, it is used by governmental agencies to fulfill their regulatory responsibilities. The private sectoralso uses this information in the corporate decision-making process.

Confidentiality

your answers are confidential.

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey data from Statistics Canada.

Information from this survey will be used for statistical purposes only and will be published in an aggregate form only.

Data-Sharing Agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data. For further information on data-sharing, please see the enclosed reporting guide.

Data Linkage

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Instructions

This schedule is to be completed and returned to Statistics Canada, Manufacturing and Energy Division, Energy Section, Jean Talon Building, Ottawa, Ontario, K1A 0T6 by April 1, 2011. If you require assistance in the completion of the questionnaire, contact the Energy Section by telephoning (613) 951-3087, or by fax at (613) 951-9499.

Fax or Other Electronic Transmission Disclosure

Statistics Canada advises you that there could be a risk of disclosure during the facsimile or other electronic transmission. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Certification

I certify that the information contained herein is substantially complete and correct to the best of my knowledge and belief.
Signature
Date (format: dd - mm - yyyy )

Name of signer (please print)
Official position of signer
E-mail address
Telephone, extension
Fax

Supply

Section 1. Electricity Generated

Megawatt-hours

• Hydro
• Steam
• Nuclear
• Internal combustion
• Combustion turbine
• Tidal
• Wind
• Solar
• Other (specify)
• Total generation

Section 2. Gross Receipts of Electricity from the U.S.A.

Value in thousands of dollars and megawatt-hours

• Firm
• Interruptible
• Non-revenue

Total receipts from U.S.A.

Section 3. Gross Receipts of Electricity from OtherProvinces

Value in thousands of dollars and megawatt-hours

• System Name

Total receipts from other provinces

Section 4. Gross Receipts of Electricity from Within Province

Value in thousands of dollars and megawatt-hours

• System Name

Total receipts from within province

Section 5. Total Supply

Megawatt-hours

Total generation + Total receipts from U.S.A. + Total receipts from other provinces + Total receipts from within province

Disposition

Section 6. Gross Deliveries of Electricity to the U.S.A.

Value in thousands of dollars and megawatt-hours

• Firm
• Interruptible
• Non-revenue

Total deliveries to U.S.A.

Section 7. Gross Deliveries of Electricity to OtherProvinces

Value in thousands of dollars and megawatt-hours

• System Name

Total deliveries to other provinces

Section 8. Gross Deliveries of Electricity Within Province

Value in thousands of dollars and megawatt-hours

• System Name

Total deliveries within province

Section 9. Electricity Used

Megawatt-hours

Report all electricity consumed (self-generated or purchased), i.e. used for own operations or given as compensation. (Please report separately for operations which have different NAICS classifications. List company names and type ofcompensation or arrangement.)

(Note : Please do not duplicate in Section 10)

Total electricity used

Section 10. Deliveries to Ultimate Consumers (Billed + or - adjustments)

Instructions:

(a) Residential: In the case of bulk metered apartments, the number of individual suites should be included. Estimate if necessary. Do not include seasonal customers, but do include the energy consumed by them.

(b) Total cost to customers : electricity commodity, distribution, transmission, and any other regulated charges. Exclude any sale taxes, GST or PST / HST

Note: Numbers in brackets represent 1997 NAICS codes

Number of customers, Cost ( $'000 ) and Megawatt-hours

• Residential - Single Meter
• Residential - Bulk Meter
• Family Farms (at farm rates or an estimate)
• Corporate Farms and Support Activities (111, 112, 1151 and 1152 at commercial/industrial rates)
• Irrigation (at irrigation rates only)
• Total Agriculture
• Total Residential and Agriculture
• Iron ore mining (21221)
• Oil and Gas Extraction and Support Actvities (211 and 213 excluding 213119)
• Other Mining and Support Activities (212 and 213119 excluding 21221)
• Food Manufacturing (311)
• Paper Manufacturing (322)
• Iron and Steel Manufacturing (3311, 3312, 33151)
• Aluminium and Non-Ferrous Metal Manufacturing (3313, 3314 and 33152)
• Cement Manufacturing (32731)
• Petroleum and Coal Products Manufacturing (324)
• Chemical, Pesticide and Fertilizer Manufacturing (3251, 3253)
• Other Manufacturing (31-33 / except above)
• Total Mining and Manufacturing
• Urban Transit Systems (4851)
• Pipeline Transportation and Natural Gas Distribution (486, 2212)
• Public Administration (91)
• Street lighting (please estimate)
• Commercial and Other Institutional (all industries not previously specified)
• Total Other
• Grand Total (Total Residential and Agriculture + Total Mining and Manufacturing + Total Other)

Section 11. Transmission, Distribution and Other Losses - Estimate When Necessary

Megawatt-hours

Section 12. Total Disposal

Megawatt-hours

Total deliveries to U.S.A. + Total deliveries to other provinces + Total deliveries within province + Total electricity used + Grand Total + Transmission, Distribution and Other Losses

Note: This line must equal line Section 5, Total Supply

Confidential when completed.

Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.

Completion of the questionnaire is a legal requirement under this Act.

Reporting period: January to December, 2009

Schedule #4

Purpose of the Survey

The purpose of this survey is to obtain information on the supply of, and demand for, energy in Canada. This information serves as an important indicator of Canadian economic performance, and is used by all levels of government in establishing informed policies in the energy area. In the case of public utilities, it is used by governmental agencies to fulfill their regulatory responsibilities. The private sectoralso uses this information in the corporate decision-making process.

Confidentiality

Statistics Canada is prohibited by law from releasing any information from this survey which would identify a person, business, or organization, without their permission or without due legal authority. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey data from Statistics Canada.

These survey data will only be used for statistical purposes and will be published in an aggregate form only.

Data Sharing Agreements

To reduce respondent burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data. For further information on data sharing, please see the enclosed reporting guide.

Data Linkage

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Instructions

This schedule is to be completed and returned to Statistics Canada, Manufacturing and Energy Division, Energy Section, Jean Talon Building, Ottawa, Ontario, K1A 0T6 by April 2, 2010. If you require assistance in the completion of the questionnaire, contact the Energy Section by telephoning (613) 951-3087, or by fax at (613) 951-9499.

Fax or Other Electronic Transmission Disclosure

Statistics Canada advises you that there could be a risk of disclosure during the facsimile or other electronic transmission. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Certification

I certify that the information contained herein is substantially complete and correct to the best of my knowledge and belief.
Signature
Date (format: dd - mm - yyyy )

Name of signer (please print)
Official position of signer
E-mail address
Telephone, extension
Fax

Supply

Section 1. Electricity Generated

Megawatt-hours

• Hydro
• Steam
• Nuclear
• Internal combustion
• Combustion turbine
• Tidal
• Wind
• Other (specify)
• Total generation

Section 2. Gross Receipts of Electricity from the U.S.A.

Value in thousands of dollars and megawatt-hours

• Firm
• Interruptible
• Non-revenue

Total receipts from U.S.A.

Section 3. Gross Receipts of Electricity from OtherProvinces

Value in thousands of dollars and megawatt-hours

• Name of System

Total receipts from other provinces

Section 4. Gross Receipts of Electricity from Within Province

Value in thousands of dollars and megawatt-hours

• Name of System

Total receipts from within province

Section 5. Total Supply

Megawatt-hours

Total generation + Total receipts from U.S.A. + Total receipts from other provinces + Total receipts from within province

Disposition

Section 6. Gross Deliveries of Electricity to the U.S.A.

Value in thousands of dollars and megawatt-hours

• Firm
• Interruptible
• Non-revenue

Total deliveries to U.S.A.

Section 7. Gross Deliveries of Electricity to OtherProvinces

Value in thousands of dollars and megawatt-hours

• Name of System

Total deliveries to other provinces

Section 8. Gross Deliveries of Electricity to Other Systems Within Province

Value in thousands of dollars and megawatt-hours

• Name of System

Total deliveries within province

Section 9. Electricity Used

Megawatt-hours

Report all electricity consumed (self-generated or purchased), i.e. used for own operations or given as compensation. (Please report separately for operations which have different NAICS classifications. List company names and type ofcompensation or arrangement.)

(Note : Please do not duplicate in Section 10)

Total electricity used

Section 10. Deliveries to Ultimate Consumers (Billed + or - adjustments)

Instructions:

(a) Residential: In the case of bulk metered apartments, the number of individual suites should be included. Estimate if necessary. Do not include seasonal customers, but do include the energy consumed by them.

(b) Total cost to customers : electricity commodity, distribution, transmission, and any other regulated charges. Exclude any sale taxes, GST or PST / HST

Note: Numbers in brackets represent 1997 NAICS codes

Number of customers, Cost ( $'000 ) and Megawatt-hours

• Residential - Single Meter
• Residential - Bulk Meter
• Family Farms (at farm rates or an estimate)
• Corporate Farms and Support Activities (111, 112, 1151 and 1152 at commercial/industrial rates)
• Irrigation (at irrigation rates only)
• Total Agriculture
• Total Residential and Agriculture
• Iron ore mining (21221)
• Oil and Gas Extraction and Support Actvities (211 and 213 excluding 213119)
• Other Mining and Support Activities (212 and 213119 excluding 21221)
• Food Manufacturing (311)
• Paper Manufacturing (322)
• Iron and Steel Manufacturing (3311, 3312, 33151)
• Aluminium and Non-Ferrous Metal Manufacturing (3313, 3314 and 33152)
• Cement Manufacturing (32731)
• Petroleum and Coal Products Manufacturing (324)
• Chemical, Pesticide and Fertilizer Manufacturing (3251, 3253)
• Other Manufacturing (31-33 / except above)
• Total Mining and Manufacturing
• Urban Transit Systems (4851)
• Pipeline Transportation and Natural Gas Distribution (486, 2212)
• Public Administration (91)
• Street lighting (please estimate)
• Commercial and Other Institutional (all industries not previously specified)
• Total Other
• Grand Total (Total Residential and Agriculture + Total Mining and Manufacturing + Total Other)

Section 11. Transmission, Distribution and Other Losses - Estimate When Necessary

Megawatt-hours

Section 12. Total Disposal

Megawatt-hours

Total deliveries to U.S.A. + Total deliveries to other provinces + Total deliveries within province + Total electricity used + Grand Total + Transmission, Distribution and Other Losses

Note: This line must equal line Section 5, Total Supply

Confidential when completed

Collected under the authority of the Statistics Act, Revised Statutes of Canada 1985, Chapter S19.

Completion of this questionnaire is a legal requirement under this Act.

Schedule #6

Purpose of the Survey

The purpose of this survey is to obtain information on the supply of, and demand for, energy in Canada. This information serves as an important indicator of Canadian economic performance and is used by all levels of government in establishing informed policies in the energy area. In the case of public utilities, it is used by government agencies to fulfill their regulatory responsibilities. The private sector also uses this information in the corporate decision-making process.

Confidentiality

Statistics Canada is prohibited by law from releasing any information from this survey which would identify a person, business, or organization, without their permission or without due legal authority. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey data from Statistics Canada.

These survey data will only be used for statistical purposes and will be published in an aggregate form only.

Data Sharing Agreements

To reduce respondent burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, and Yukon.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.

For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories, Nunavut, and with Natural Resources Canada, Environment Canada, and theBritish Columbia Ministry of Energy, Mines and Petroleum Resources.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Data Dissemination

Data from this survey, including technical information, are disseminated in the Statistics Canada publication “Electric Power Generating Stations” (Catalogue No. 57-206-XIB). If you object, please notify the Manufacturing and Energy Division of Statistics Canada in writing and return your letter of objection, together with the completed
questionnaire.

Instructions

This schedule is to be completed and returned to Statistics Canada, Manufacturing and Energy Division, Energy Section, Jean Talon Building, Ottawa, Ontario, K1A 0T6 by April 30, 2010. If you require assistance in the completion of the questionnaire, contact the Energy Section by telephoning (613) 951-2624, or by fax at
(613) 951-9499.

To reduce your burden of response, the attached computer print-out contains the data on file for your station(s) as of December 31, 2009.
We will continue to pre-fill this form unless otherwise notified.

All additions, deletions and revisions for the year 2009 should be made directly on the accompanying print-out.

Name-plate rating should be reported except where, due to permanent changes (such as an upgrade or a replacement), they would be inappropriate.

Please indicate if the unit is a standby facility (a unit whose operation is not part of the planned load).

Fax or Other Electronic Transmission Disclosure

Statistics Canada advises you there could be a risk of disclosure during the facsimile or other electronic transmission. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Please indicate the status of this return in the appropriate box.

• Revisions attached
• No revisions

Certification

I certify that the information contained herein is substantially complete and correct to the best of my knowledge and belief.
Signature
Date

Date (format: dd - mm - yyyy )
Name of signer (please print)
Official position of signer
E-mail address
Telephone, extension
Fax

2011

Purpose of the Survey

To obtain information on the supply of and demand for energy in Canada. This information serves as an important indicator of Canadian economic performance, is used by all levels of government in establishing informed policies in the energy area and, in the case of public utilities, is used by governmental agencies to fulfil their regulatory responsibilities. The private sector likewise uses this information in the corporate decision-making process.

Confidentiality

Your answers are confidential.

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. The confidentiality provisions of the Statistics Act are not affected by either the Access to information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey records from Statistics Canada.

Information from this survey will be used for statistical purposes only and will be published in aggregate form only.

Data-Sharing Agreement

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Québec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 12 of the Statistics Act provides for the sharing of information with the federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.

For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut and with the Ontario Ministry of Energy, Manitoba Innovation, Energy and Mines, Saskatchewan Ministry of Energy and Resources, Alberta Energy Department, the Alberta Energy Resources Conservation Board, British Columbia Ministry of Energy, Mines and Petroleum Resources, National Energy Board, Natural Resources Canada and Environment Canada.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Note that there is no right of refusal with respect to sharing the data with the Saskatchewan Ministry of Energy and Resources and Alberta Energy Resources Conservation Board. In addition to being collected under the Statistics Act, the information is collected pursuant to The Oil and Gas Conservation Act and Regulations, 1985 (Saskatchewan) and The Mineral Resources Act (Saskatchewan) on behalf of Saskatchewan Ministry of Energy and Resources, and section 65 of the Alberta Coal Conservation Regulation and sections 12.050 to 12.053 of the Alberta Gas and Oil Conservation Regulation, on behalf of the Alberta Energy Resources Conservation Board.

Record Linkages

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Reporting Instructions

Quantities are to be reported in cubic metres at 15° C .
Do not enter data in shaded areas.
This questionnaire is to be completed by companies confined to one province.

Important

Two copies to be completed and mailed within 18 days afterthe end of the month to Statistics Canada, Manufacturing andEnergy Division, Energy Section, Ottawa, K1A 0T6.

Keep one copy

Report for the month of: 

Confidential when completed

Collected under the authority of the Statistics Act,Revised Statutes of Canada, 1985, Chapter S19.Completion of this questionnaire is a legal requirementunder this Act.

NAICS , 48611, 48691

Name and title of person responsible for this report:
Name:
Title:
Area code and telephone number:
Email address:
Area code and fax. number:

Table A
Closing Inventories (cubic metres)

A. Closing Inventories ( m3)	Crude	Condensate and Pentanes Plus	Propane	Butane	Other	Total
1. Held in lines
2. Held in tanks
3. Shipper
4. Carrier
Total (Held in lines+Held in tanks) or (Shipper+Carrier) and line 6. Closing inventories of summary of deliveries

 

Table B
Summary of receipts (cubic metres)

	Crude	Condensate and Pentanes Plus	Propane	Butane	Other	Total
1. Refineries
2. Plants
3. Other pipelines
4. Other deliveries
5. Other receipts
Total

 

Table C
Summary of deliveries (cubic metres)

	Crude	Condensates and Pentanes Plus	Propane	Butane	Other	Total
1. Refineries
2. Plants
3. Other pipelines
4. Other deliveries
5. Losses and adjustments
6. Closing inventories
Total

 

Table B2
Details of receipts from fields (Specify field name and province) (cubic metres)

Field and Province	Crude	Field and Province	Crude	Field and Province	Condensates and Pentanes Plus
1.
2.
3.
4.
5.
6.		Total as line 2. Plants, Summary of receipts			Total as line 2. Plants, Summary of receipts

 

Table B3
Details fo receipts from plants (Specify plant and location) (cubic metres)

	Pipeline code	Crude	Condensates and Pentanes Plus	Propane	Butane	Other (Please, specify)
1.
2.
3.
4.
5.
6.
Total as line 3. Other pipelines, Summary of Receipts

 

Table B4
Details of receipts from pipelines (Specify pipeline) (cubic metres)

	Pipeline code	Crude	Condensate and Pentanes Plus	Propane	Butane	Other (Please, specify)	Total
1.
2.
3.
4.
5.
6.
7.
Total as in line 4. Other deliveries, Summary of Receipts

 

Table B5
Details of other receipts (Specify type of carrier, trucked volumes, point of receipt, field, etc. ) (cubic metres)

	Crude	Condensate and Pentanes Plus	Propane	Butane	Other (Please, specify)	Total
1.
2.
3.
Total as line 5. Other receipts, Summary of Receipts

 

Table C1
Details of deliveries to refineries (Specify refinery and location) (cubic metres)

	Crude	Condensates and Pentanes Plus	Propane	Butane	Other (Please, specify)	Total
1.
2.
3.
Total as line 1. Refineries, Summary of Deliveries

 

Table C2
Details of deliveries to bulk plants, terminals and processing plants (cubic metres)

	Crude	Condensates and Pentanes Plus	Propane	Butane	Other (Please, specify)	Total
1.
2.
3.
Total as line 2. Plants Summary of Deliveries

 

Table C3
Details of deliveries to pipelines (Specify pipeline and delivery point) (cubic metres)

	Pipeline code	Crude	Condensate and Pentanes Plus	Propane	Butane	Other (Please, specify)	Total
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Total as line 3. Other pipelines, Summary of Deliveries

 

Table C4
Details of other deliveries (Specify delivery point) (cubic metres)

	Crude	Condensate and Pentanes Plus	Propane	Butane	Other (Please, specify)	Total
1.
2.
3.
Total as line 4. Other deliveries, Summary of Deliveries

Please complete and return within 20 days after receipt of this questionnaire

Confidential when completed

Collected under authority of Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.

Completion of this questionnaire is a legal requirement under this Act.

Please correct, if necessary

• Company name
• Operating name
• Care of
• Street address
• City
• Province/Territory
• Postal code

Please read before completing

Purpose of the Survey

To obtain information on the status of energy industries in Canada. The results will be used by industry associations to gauge the size and importance of the industry and by government in establishing informed energy policies. The information may also be useful to individual businesses in decision-making.

Confidentiality

Your answers are confidential.

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey records from Statistics Canada.

An exception to the general rule of confidentiality under the Statistics Act is the disclosure, at the discretion of the Chief Statistician, of identifiable information relating to public utilities, which includes undertakings supplying petroleum or petroleum products by pipeline, and undertakings supplying, transmitting or distributing gas, electricity or steam. This applies to the dissemination of aggregate survey results at the provincial or territorial level where only one or two public utilities may have reported data or where one dominates the industry in a particular province or territory.

Data Sharing Agreement

To reduce respondent burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, and the Yukon.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.

For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut as well as with Alberta Department of Energy, Natural Resources Canada and Environment Canada.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Record Linkages

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

A. Instructions

Report the most recent fiscal year ending at any time between April 1, 2010 and March 31, 2011.

This report covers the period

• From:
• To:

This schedule is to be completed and returned to Statistics Canada, 150 Tunney’s Pasture Driveway, Ottawa, Ontario, K1A 0T6. If you require assistance in the completion of the questionnaire, contact the Energy Section by telephoning 1-877-604-7828, or by fax at 1-888-883-7999.

Fax or Other Electronic Transmission Disclosure

Statistics Canada advises you there could be a risk of disclosure during the facsimile or other electronic transmission. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded to all information collected under the authority of the Statistics Act.

B. Business activity

North American Industry Classification System (NAICS)

Please indicate the primary business activity.

• Providing contract drilling services ( NAICS 213111)
• Providing Services, other than contract drilling, to the oil and gas extraction industry ( NAICS 213118)
  (Please see reporting guide for examples of services)
• This company does not provide either of the above listed services. The survey does not apply to this company.
  (Please describe briefly this company’s principal business activity and return this form in the envelope provided).

C. Foreign operations

Did this company provide Contract Drillling and/or provide Services to clients outside Canada during the reporting period above?

• No
• Yes
  • Report revenues from foreign operations for the latest fiscal year (Thousands of Canadian dollars)

D. Type of organization

Please check your type of organization:

• Individual ownership
• Partnership
• Incorporated Company
• Unincorporated
• Co-operative

E. Canadian operations

Province: Newfoundland (including offshore), Nova Scotia (including offshore), Manitoba, Saskatchewan, Alberta, British Columbia, Northwest Territories, Other Provinces (please specify), Canada

Operating Revenues (in thousands of dollars)

1. Income from contract drilling

2. Income from other services

3. Other operating revenue

4. Total Operating Revenues (Sum of Income from contract drilling, Income from other services and Other operating revenue)

Operating Expenses (in thousands of dollars)

5. Salaries and wages

6. Employer contributions to pension, medical and employment insurance plans

7. Materials and supplies

8. Fuel and electricity

9. Depreciation and amortization

10. Purchased services

11. Other operating expenses

12. Total Operating Expenses (Sum of Salaries and wages, Employer contributions to pension,medical and employment insurance plans, Materials and supplies, Fuel and electricity, Depreciation and amortization, Purchased services and Other operating expenses)

13. Net Revenue from Operations (Total Operating Revenues minus Total Operating Expenses)

F. Reporting Guide

Please report your Canadian operations only in thousands of Canadian dollars.

Operating Revenues:

Income from contract drilling operations:
Report income from the provision of drilling services for crude petroleum and natural gas, building of drilling rigs, repairing and dismantling drilling rigs and derricks, and firefighting operations.

Income from services:
Report income from the provisions of services associated with: acidizing oil and gas wells, cementing oil and gas wells, chemical treating of oil and gas wells, camp services, road building, equipment rental “with operator only”, contract operating, battery operator, tubular testing, wire line and gas testing, maintenance/ repair work at oil and gas well site, pipe fitting, servicing rigs, lease preparation/cleanup, swabbing rigs, pumpjack maintenance/repair, coil tubing, pressure testing, downhole testing and any other activity related to servicing the oil and gas extraction industry.

Other operating revenue:
Report all royalty fee income arising from the use of patents etc. , franchise fees, operating subsidies, commissions and any other income not specified above.

Operating Expenses:

Salaries and wages:
Report all salaries and wages (including bonuses and commissions) paid to your own workforce during the reporting period.

Employer contributions to pension, medical and employment insurance plans:
Report all employer contributions to C.P.P. , E.I.C. , medical plans, dental plans, etc. on behalf of your own workforce.

Materials and supplies:
Report costs associated with drilling mud, acids, drilling bits, cables, lubricants, materials used in repairing rigs, cost of casing and pipe, and all other material costs incurred in the provision of services.

Fuel and electricity:
Report the amount charged to expense of purchased fuel and electricity used in your operations.

Depreciation and amortization:
Report the cost arising from the systematic write-down of fixed assets used in your operation.

Purchased services:
Report the cost of purchased services relating to repair and maintenance, fees paid to sub-contractors, computer services, professional fees, travel and entertainment, etc .

Other operating expenses:
Report all other operating expenses not included above ( e.g. general and administrative costs). Exclude costs associated with Debt Financing and Charitable Contributions.

Comments

Please provide an explanation to support reason(s) for a significant increase/decrease in Operating Revenues and/or Operating Expenses compared to the previous year.

Certification

I certify that the information contained herein is complete and correct to the best of my knowledge and belief.

Signature

• Name of signer (please print)
• Official position of signer
• Date
• Name of person to be contacted in connection with this report (please print)
• Telephone
• Fax
• E-mail address