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Bridgewater Place Post Office Box 352 Grand Rapids, Michigan 495010352 Telephone 616 / 3366000 Fax 616 / 3367000 www.varnumlaw.comTimothy J. LundgrenDirect: 616 / 3366750 tjlundren×varnumlaw.com

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It is a form required by the Michigan Public Service Commission for certain filings.

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Entities regulated by the Michigan Public Service Commission are required to file this form.

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The purpose is to provide necessary information to the Michigan Public Service Commission for regulatory compliance.

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Information such as financial data, operational details, and compliance status must be reported.

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