FORM U-3A-2
Statement by Holding Company Claiming Exemption Under Rule U-3A-2 from the
Provisions of the Public Utility Holding Company Act of 1935
ALPINE NATURAL GAS INC.
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hereby files with the Securities Exchange Commission, pursuant to Rule 2, its
statement claiming exemption as a holding company from the provisions of the
Public Utility Holding Company Act of 1935, and submits the following
information:
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1. Claimant Name: Alpine Natural Gas Inc.
State of Org.: California
Location: 15 St. Andrews, Valley Springs, California 95252
Nature of Business: Managing Member and holding company for Alpine Natural
Gas Operating Company No. 1, LLC, a limited liability
company formed to construct and operate a small natural gas
distribution system in the County of Calaveras, California
Subsidiary Name: Alpine Natural Gas Operating Company No. 1, LLC
State of Org.: California
Location: 15 St. Andrews, Valley Springs, California 95252
Nature of Business: To construct and operate a small natural gas distribution
system in the County of Calaveras, California
2. NONE: Neither Alpine Natural Gas Inc. nor its subsidiary Alpine Natural Gas
Operating Company No. 1, LLC currently own, use, or operate property for the
production, transmission, and distribution of natural gas, as Alpine Natural Gas
Operating Company No. 1, LLC's proposed natural gas distribution system is not yet
built.
3. NONE: Alpine Natural Gas Operating Company No. 1, LLC's proposed natural gas
distribution system is not yet built.
4. NONE: Alpine Natural Gas Inc. does not hold any interest, directly or indirectly, in
an EWG or foreign utility company
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The above-named claimant has caused this statement to be duly executed on its
behalf by its authorized officer on this 4th day of May, 1999.
Alpine Natural Gas Inc.
By: Dan Samuel, President
Attest:
Dan Samuel /s/
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Name, title and address of officer to whom notices and correspondence concerning
this statement should be addressed:
Andrew J. Skaff, Esq., Attorney for Alpine Natural Gas Inc.
CROSBY HEAFEY ROACH & MAY
Professional Corporation
1999 Harrison Street
Oakland, CA 94612
EXHIBIT A
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A Consolidating Statement of Income and Surplus, together with a consolidating
balance sheet of Alpine Natural Gas Inc. and its subsidiary, Alpine Natural Gas
Operating Company No. 1, LLC for the 1998 calendar year:
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Alpine Natural Gas Inc.'s
Consolidating Statement of Income:
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REVENUE 0
-
GENERAL & ADMINISTRATIVE
STATE INCOME TAXES 800
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TOTAL GENERAL & ADMINISTRATIVE 800
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INCOME FROM OPERATIONS (800)
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OTHER INCOME AND (EXPENSE)
NON-DEDUCTIBLE PENALTIES (234)
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TOTAL OTHER INCOME AND (EXPENSE) (234)
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NET INCOME $(1,034)
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Alpine Natural Gas Inc.'s
Consolidating Statement of Surplus:
STOCKHOLDER'S EQUITY
COMMON STOCK 156,382
STOCK WARRANTS 100,000
RETAINED EARNINGS (2,796)
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TOTAL STOCKHOLDER'S EQUITY 253,586
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Alpine Natural Gas Inc.'s
Consolidating Balance Sheet:
ASSETS
CURRENT ASSETS
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CASH ON HAND & IN BANKS (1,005)
ACCOUNTS RECEIVABLE-SHHOLDERS 2,382
DEPOSITS 625
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TOTAL CURRENT ASSETS 2,002
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FIXED ASSETS
FURNITURE & FIXTURES 2,613
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TOTAL FIXED ASSETS 2,613
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OTHER ASSETS
ORGANIZATIONAL COSTS 58,836
START-UP COSTS 251,654
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TOTAL OTHER ASSETS 310,490
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TOTAL ASSETS $315,105
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LIABILITIES AND EQUITY
CURRENT LIABILITIES
ACCOUNTS PAYABLE 33,708
STATE TAXES PAYABLE 1,202
PAYROLL TAXES PAYABLE 6,097
ACCRUED INSURANCE (15)
ACCRUED WAGES 8,000
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TOTAL CURRENT LIABILITIES 48,992
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LONG TERM LIABILITIES
NOTE PAYABLE - OFFICER 3,025
NOTE PAYABLE - SAMUEL CONST. 9,502
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TOTAL LONG TERM LIABILITIES 12,527
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STOCKHOLDER'S EQUITY
COMMON STOCK 156,382
STOCK WARRANTS 100,000
RETAINED EARNINGS (2,796)
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TOTAL STOCKHOLDER'S EQUITY 253,586
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TOTAL LIABILITIES AND EQUITY $315,105
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EXHIBIT B
Financial Data Schedule
1. Total Assets: $315,105
2. Total Operating Revenues: $0
3. Net Income: $(1,034)
EXHIBIT C
An organizational chart showing the relationship of each EWG or foreign utility
company to associate companies in the holding-company system:
NOT APPLICABLE
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