Pennsylvania Public Utility Commission Bureau of Administration PO Box 3265 Harrisburg, PA 17105-3265 For questions call: 717-783-6806 e-mail Reports to: A.Acti)Fiscal@pagow UNCONVENTIONAL GAS WELL FUND USAGE REPORT Calendar Year Reporting: 2019 County: Washinglon SAP Vendor No.: 158838 Name of Municipality: Eomghofihufagk County/M Municipal Website: nweagktoaphon Contact Name: Kimberlu Kooniz Title: Seccbany Address: Address 2: City: 151Mahst Email Address: MhorpComhaeé Telephone No.: 74-3346t, Mufagk PA 15067 State: PA Zip Code: 15067 TOTAL AMOUNT OF FUNDS RECEIVED: 50,756.88 USE OF UNCONVENTIONAL GAS WELL FUNDS AMOUNT 1. Construction, reconstruction, maintenance and repair of roadways, bridges and 2. Water, storm water and sewer systems, including construction, reconstruction, 3. Emergency preparedness and public safety, including law enforcement and fire services, hazardous material response, 911, equipment acquisition and other 4. Environmental programs, including trails, parks and recreation, open space, flood plain management, conservation districts and agricultural preservation 5. Preservation and reclamation of surface and subsurface waters and water public infrastructure. maintenance and repair services 50,756,88 supplies 6. Tax reductions, including homestead exclusions 7. Projects to increase the availability of safe and affordable housing to residents 8. Records management, geographic information systems and information technology 9. The delivery of social services 10. Judicial services 11. Deposit into the municipality's capital reserve fund if the funds are used solely for 12. Career and technical centers fori training of workers in the oil and gas industry 13. Local or regional planning initiatives under the act of July 31, 1968 (P.L. 805, No. 247), known as the Pennsylvania Municipalities Planning Code 14. TOTAL FUND USAGE (This amount must equal the amount entered in the "Total a purpose set forth in Act 13of2012 Amount of Funds Received" space above) 50,756.88 Calendar Year Reporting: 0019 County: luashington SAP Vendor No.: 158838 Name of Municipality: Borough hofhhsfagl VERIFICATION STATEMENT I, the undersigned, hereby state that the facts above set forth are true and correct (or are true and correct to the best ofmy knowledge, information and belief) and that I expect to be able to prove the same at a hearing, ifo one is deemed necessary by the Public Utility Commission, ini this matter. I understand that the statements herein are made subject to the penalties of 18 Pa.C.S. S 4904 (relating to unsworn falsification to authorities). 01981202à Date Signature ofl 4 Name of person to be contacted for additional information: Kmbedy Koontz Phone Number: 794-358-4477 Email: nelereronaanet Revised 4/5/13 Page 2