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Annual TFE Report

(Confidential, Non-Public)

b

______________________________

Entity Name:

Report Period:

The annual report shall contain information as specified in items 1 through 10 and 13 of Section 4.3.2, but revised as appropriate based on current information as of the date of the
report. The annual report shall not propose revisions to implementation, research and reporting dates that were specified in the approved TFE, but rather shall report on the
Responsible Entity’s progress and accomplishments in carrying out the implementation and research activities. Any revisions to implementation, research and reporting dates, or to
other requirements, that were specified in the approved TFE shall be requested by an amendment filing in accordance with Section 7.2 of this Appendix.

Item no.

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13
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15
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TFE ID number

Approval Date

e.g., 2010-XXX-TFExxxxx-x

As listed on the TFE
Approval document

Are all compensating
and/or mi