uv12via
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.
FORM U-12(I)-A
Statement Pursuant to Section 12(i) of Public Utility Holding Company Act of
1935 by a Person Employed or Retained by a Registered Holding Company
or a Subsidiary Thereof
Note. This form is prescribed for statements to be filed within 10 days after the date of each
activity within the scope of Section 12 (i) of the Act and for supplemental monthly statements
which are required to be filed within 10 days after the close of each calendar month in which
expenses are incurred or compensation received in connection with such activity. (Inapplicable to
the extent that advance statements are duly filed on Form U-12(I)-B.)
(To be filed in DUPLICATE. If acknowledgment is desired, file in triplicate)
(See Instructions on Back of This Form.)
1. Name and business address of person filing statement.
John H. Shafer
Sustainable Natural Resources Practice Manager
NiSource Corporate Services Company
201 Energy Parkway
Lafayette, LA 70503
2. Names and addresses of any persons through whom the undersigned has engaged in the
activities described in item 4 below.
Interstate Natural Gas Association of America
10 G Street NE, Suite 700
Washington, DC 20002
3. Registered holding company systems involved.
NiSource Inc. and its affiliates
4. Concise statement of (a) name of employing companies; (b) persons or bodies before whom
matters were presented, advocated, or opposed, and (c) activities of the type described in section
12(i) of the Act, and extent to which other than routine expenses are contemplated.
1
Mr. John Shafer testified at a House Resources Committee, National
Environmental Policy Act (NEPA) Task Force field hearing on behalf of
Interstate Natural Gas Association of America on September 17, 2005, regarding
suggestions for improving the NEPA process.
5. (a) Compensation received and to be received by the undersigned, and any other persons,
directly or indirectly, for the services described in item 4, above, and the sources of such
compensation.
|
|
|
|
|
Name of recipient
|
|
Salary or other
compensation
|
|
Person or company from whom received or to be received |
|
|
|
|
|
|
|
|
received
(a)
|
|
to be
received
(b) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
John H. Shafer
|
|
*
|
|
*
|
|
NiSource Corporate Services
Company
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
*Pursuant to Rule 104, this confidential information will be filed separately
(b) Names of persons with whom the undersigned has divided or is to divide his compensation
(stated in item 5(a) above), and the total amount being paid over by the undersigned to each such
person.
None
6. Expenses incurred by the undersigned or any person named in item 2, above, in connection
with the activities described in item 4, above.
(a) Total amount of routine expenses: $......................................$970.00
(b) Itemized list of all other expenses: None
2
Date ..9/26/205.............. (Signed) .../s/ John H. Shafer..........
Section 12(i) of the Public Utility Holding Company Act of 1935 provides that it shall be
unlawful for any person employed or retained by any registered holding company, or any subsidiary
company thereof, to present, advocate, or oppose any matter affecting any registered holding
company or any subsidiary company thereof, before the Congress or any Member or committee thereof,
or before the Commission or Federal Power Commission, or any member, officer, or employee of either
such Commission, unless appropriate reports are filed as the Commission may prescribe.
3