飫�/p>

a notification pursuant to Article 1(3) in Part I of Protocol 3 to the Agreement between the EFTA States on the Establishment of a Surveillance Authority and a Court of Justice?

飫�/p>

a possible unlawful aid (1)?

If yes, please specify the date of putting into effect of the aid. Please complete this form, as well as the relevant supplementary forms.

飫�/p>

a non-aid measure which is notified to the EFTA Surveillance Authority for reasons of legal certainty?

‘�/p>

No transfer of public resources (For example, if you consider the measure is not imputable to the State or where you consider that regulatory measures without transfer of public resources will be put in place)

‘�/p>

No advantage (For example, where the private market investor principle is respected)

‘�/p>

No selectivity/specificity (For example, where the measure is available to all enterprises, in all sectors of the economy and without any territorial limitation and without discretion)

‘�/p>

No distortion of competition/no affectation of intra-EEA trade (For example, where the activity is not of an economic nature or where the economic activity is purely local)

1.1.

EFTA State concerned ‘�/p>

1.2.

Region(s) concerned (if applicable) ‘�/p>

1.3.

Responsible contact person:

Name: ‘�/p>

Address: ‘�/p>

Telephone: ‘�/p>

Fax: ‘�/p>

E-mail: ‘�/p>

1.4.

Responsible contact person at the Mission to the European Union of the EFTA State concerned or any other contact point designated by the EFTA State:

Name: ‘�/p>

Telephone: ‘�/p>

Fax: ‘�/p>

E-mail: ‘�/p>

1.5.

If you wish that a copy of the official correspondence sent by the EFTA Surveillance Authority to the EFTA State should be forwarded to other national authorities, please indicate here their name and address:

Name: ‘�/p>

Address: ‘�/p>

‘�/p>

1.6.

Indicate EFTA State reference you wish to be included in the correspondence from the EFTA Surveillance Authority:

‘�/p>

1.7.

Please indicate the name and the address of the granting authority:

‘�/p>

‘�/p>

‘�/p>

‘�/p>

2.1.

Title of the aid (or name of company beneficiary in case of individual aid)

‘�/p>

2.2.

Brief description of the objective of the aid.

Please indicate primary objective and, if applicable, secondary objective(s):

2.3.

Scheme - Individual aid (4)

2.3.1.

Does the notification relate to an aid scheme?

2.3.2.

Does the notification relate to individual aid?

Reference of the authorised scheme:

2.3.3.

Does the notification relate to an individual aid or scheme notified pursuant to the Commission Regulation (EC) No 800/2008 of 6 August 2008 declaring certain categories of aid compatible with the common market in application of Articles 87 and 88 of the Treaty (General Block Exemption Regulation) (5)?

3.1.

Please list the national legal basis including the implementing provisions and their respective sources of references:

3.2.

Please indicate the document(s) enclosed with this notification:

3.3.

In case of a final text, does the final text contain a clause whereby the aid granting body can only grant after the EFTA Surveillance Authority has cleared the aid (stand still clause)?

3.4.

Access to full text of schemes - in case of an aid scheme please:

4.1.

Location of the beneficiary(ies)

4.2.

Sector(s) of the beneficiary(ies):

4.3.

In case of an individual aid:

(please attach a solemn declaration in line with the Commission Recommendation on SME (7) or provide any other evidence to demonstrate the above criteria):

‘�/p>

4.4.

In case of an aid scheme:

飫�/p>

Direct grant

飫�/p>

Reimbursable grant

飫�/p>

Soft loan (including details of how the loan is secured)

飫�/p>

Interest subsidy

飫�/p>

Tax advantage (please specify):

飫�/p>

Reduction of social security contributions

飫�/p>

Provision of risk capital

飫�/p>

Other forms of equity intervention (please specify): ‘�/p>

飫�/p>

Debt write-off

飫�/p>

Guarantee (including amongst others information on the loan or other financial transaction covered by the guarantee, the security required and the premium to be paid)

飫�/p>

Other (please specify): ‘�/p>

For each instrument of aid, please give a precise description of its rules and conditions of application, including in particular the rate of award, its tax treatment and whether the aid is accorded automatically once certain objective criteria are fulfilled (if so, please mention the criteria) or whether there is an element of discretion by the awarding authorities.

‘�/p>

飫�/p>

Through parafiscal charges or taxes affected to a beneficiary, which is not the State. Please provide full details of the charges and the products/activities on which they are levied. Specify in particular whether products imported from other EFTA States are liable to the charges. Annex a copy of the legal basis for the imposition of the charges

‘�/p>

飫�/p>

Accumulated reserves

飫�/p>

Public enterprises

飫�/p>

Other (please specify): ‘�/p>

7.1.

In the case of an individual aid:

Indicate the planned date to put into effect the aid (If the aid will be granted in tranches, indicate the planned date of each tranche):

‘�/p>

Specify the duration of the measure for which the aid is granted, if applicable:

‘�/p>

7.2.

In the case of a scheme:

Indicate the planned date from which the aid may be granted:

‘�/p>

Indicate the planned last date until which aid may be granted:

‘�/p>

If the duration exceeds six years, please demonstrate that a longer time period is indispensable to achieve the objective(s) of the scheme:

‘�/p>

10.1.

Please identify which of the existing Regulations, frameworks, guidelines and other texts applicable to state aid provide an explicit legal basis for the authorisation of the aid (where appropriate please specify for each measure) and complete the relevant supplementary information sheet(s) in part III

10.2.

Where the existing Regulations, frameworks, guidelines or other texts applicable to state aid do not provide an explicit basis for the approval of any of the aid covered by this form, please provide a fully reasoned justification as to why the aid could be considered as compatible with the EEA Agreement, referring to the applicable exemption clause of the Agreement (Article 59(2), Article 61(2)(a) or (b), Article 61(3)(a), (b) or (c)), as well as other specific provisions relating to Transport.

10.3.

Where the existing Regulations, frameworks, guidelines or other texts applicable to State aid do not provide an explicit basis for the approval and in so far that it is not requested by the relevant supplementary information sheet(s) in part III, please provide the following information concerning the likely impact of the notified measure on competition and trade between EEA Member States.

This information is necessary to complete the assessment made by the EFTA Surveillance Authority which balances the positive impact of the aid measure (reaching an objective of common interest) against its potentially negative side effects (distortions of trade and competition).

10.3.1.

10.3.2.

11.1.

In the case of individual aid:

The authorities of the EFTA State commit to suspend the payment of the notified aid if the beneficiary still has at its disposal an earlier unlawful aid that was declared incompatible by an EFTA Surveillance Authority Decision (either concerning an individual aid or an aid scheme), until that beneficiary has reimbursed or paid into a blocked account the total amount of unlawful and incompatible aid and the corresponding recovery interest.

11.2.

In the case of aid schemes:

The authorities of the EFTA State commit to suspend the payment of any aid under the notified aid scheme to any undertaking that has benefited from earlier unlawful aid declared incompatible by an EFTA Surveillance Authority Decision, until that undertaking has reimbursed or paid into a blocked account the total amount of unlawful and incompatible aid and the corresponding recovery interest.