Annex 2 DECLARATION de minimis1 and state aid2 regarding the project „………………………………………………………………………………………………“ (title of the project) Programme, call: BG02 INTEGRATED MARINE AND INLAND WATER MANAGEMENT 1. BG02.01: More integrated management of marine and inland water resources BG03 BIODIVERSITY AND ECOSYSTEM SERVICES 1. BG03.SGS: Development of a nation-wide education and awareness campaign through volunteer action and supporting activities (Launch: June 2014) 2. BG02.02: Improved monitoring of marine waters 2. BG03.01: Invasive alien species networking for information exchange and capacity building 3. BG02.03: Increased capacity for assessing and predicting environmental status in marine and inland waters 4. 1. BG03.03: Sectoral policies for the systematic use of ecosystem services The undersigned /full names of declarer/ 2. 3.1. 3.2. 4. in my capacity of (please present supporting documents) Title of the recipient/applicant: UIC/BULSTAT: Head office address: /manager/chairman/representative/other/ Address for correspondence: /Complete only if different from the registered office at 3.1/ Does the recipient/applicant perform economic activity3: /If you mark “NO”, do not proceed filling out the rest of the Declaration/ YES NO 1 The present Declaration was compiled for the purposes of Regulation (EU) № 1407/2013 of 18 December 2013 on the application of Articles 107 and 108 of the Treaty on the Functioning of the European Union to de minimis aid (OJ, L 352/1 of 24.12.2013), as the same may be adapted to the requirements of any other de minimis Regulation. 2 The declaration is a mandatory part of the application package for programmes BG02 and BG03 funded by the EEA FM 2009-2014. It ghas to be filled in separately by the legal representative (as documented by the entity’s court registration) separately by each applicant/partner. 3 Economic activity consists in offering goods and/or services to a particular market. The regime in the field of state aid applies to all entities engaged in economic activity, regardless of their legal form, their registration and financing. In this sense, these entities are "enterprises" for the purposes of the legislation on state aid. 1 4а. 5. 6. If you marked "YES" in p. 4, then the recipient is "an enterprise" within the meaning of the law on state aid. Please fill in the following relevant information about the recipient: Relative share of net income from sales in % in: Activities carried out by the enterprise № (Code under the Classification of Economic 2014 Activities – 2008 (CEA-2008) 2013 (leave blank if no data available) 1. 2. Industrial affiliation of the enterprise according to its core activity under CEA-2008 code. /Write CEA-2008 code and its respective title/ Objective of the aid (financed activity): 7. Type of the enterprise: /Mark with Х/ large medium 8. Please indicate the ownership of the enterprise by 2014: Ownership of enterprise is: State Municipal Private 9. 9а. small micro Relative share of the capital in %: Total: 100.00 Is there a partnership4 with an individual from the Republic of Bulgaria? Bulgarian partners are considered. Foreign partners are not subject of the present Declaration. YES (In the event that the recipient/applicant has a partner/s, the Declaration/s must also be filled out by the partner/s.) If you marked "YES" in point 9, please complete the following information about the partner/s: Title of the partner: NO UIC/BULSTAT: I DECLARE THAT: 10. I have circumstances of the transformation: merger/acquisition/split? (Complete only if the transformation is made after 01.01.2014) If you indicated "YES", please complete the table below for each of the entities participating in the transformation (add rows as needed). YES NO 4 Pursuant to Art. 3, para. 2 of the Commission Recommendation 2003/361/EC concerning the definition of micro, small and medium-sized enterprises (OJ, L 124/36 of 20.05.2003): Company category Employees Turnover or Balance sheet total ≤ € 50 m (BGN 97 791 500) Medium-sized < 250 Small < 50 ≤ € 43 m (BGN 84 100 690) ≤ € 10 m ≤ € 10 m (BGN 19 558 300) ≤€2m Micro < 10 ≤€2m (BGN 3 911 660) Data to be applied for the purpose of determining the personnel’s number and the financial parameters are the ones in the most recent financial account drawn up as per the national accounting legislation 2 № 11. 12. UIC/BULSTAT Name 2012 Aid received by year (BGN) 2013 2014 I have at least one type of the relationships under Art. 2, para 2, letters "a" - "d" of Regulation (EU) № 1407/2013: YES If you indicated "YES", fill in the following information about each of the enterprises that form the "single undertaking", no matter whether they have received state aid: Title: UIC/BULSTAT: NO In the previous two years (2012 and 2013), as well as in the current year 2014, to the date of the declaration I have received, including as a result of the transformation as in point 10, also as a single undertaking" as in point 11, the following de minimis aid (received on the territory of the Republic of Bulgaria5): When filling the table enter also aid received by enterprises listed in p. 11 (If applicable) Please note that for the purposes of Regulation (ЕС) № 1407/2013, the date of granting the aid is NOT the date of performing the payment. According to Art. 3,para. 4 pf Regulation (ЕС) № 1407/2013, the de minims aid is being granted at the moment the legal grounds for such grant comes into force according to the national law (i.e. signing a Project contract), irrespective of the actual payment to the recipient/applicant. If in p. 10 above you declared a division, de minimis aid granted before the enterprise’s splitting is given to the enterprise that used it (typically the one taking over the activities benefiting from the aid). If such granting is not possible, de minimis aid is being split pro rata based on the accounting value of the new enterprise’ own capital at the date of division. Including activity/ies within the respective thresholds: Up to 100 00 0 Euro (195 5 83 Lv.) Up to 200 000 Euro (391 166 Lv.) Up to 500 000 Euro (977 915 Lv.) d e under Reg. (EU) 1408/2013 under Reg. (EU) ХХХ/ХХХ6 Total amount of the aid= a+b+c+d+e (in leva) SGEI Costs for which the aid is received/aid objective (with words) c Up to 15 000 Euro (29 33 7,45 Lv.) Up to 30 0 00 Euro (58 6 74,9 0Lv.) 2014 Recipient/s (specify UIC/BULSTAT) Aid administrato r (title and UIC/BULSTAT ) B „Road transport“ Other activities under Reg. (EU) 1407/2013 a 5 6 Aid granted on the territory of other Member State of the EU is not subject to the present Declaration. Regulation (EU) № 1408/2013 of the Commission of 18.12.2013 on the application of Article 107 и 108 of the Treaty on the Functioning of the European Union to de minimis aid in the fishery and aquaculture sector 3 2013 2012 Total: 13. 13а. 13б. 14. 14а. 15. 15а. 16. 16а. 17. 17а. 18. 19. ∑(a+b+c+d+ e) ∑a ∑b ∑c The financed activity, falls under the application field of the Regulation (EU) № 1407/2013: /If you mark “NO”, do not complete further the Declaration/ The recipient/applicant carries out activity/ies, that is/are excluded of the application field of the Regulation (EU) № 1407/2013: In the case in point 13, the total amount of de minimis aid for the recipient/applicant and the enterprises with which he forms a "single undertaking" does not exceed the equivalent in leva of 200 000 Euro for a period of three consecutive years (years 2012, 2013, 2014): De minimis aid is granted for an activity on performing road transport for hire or reward as covered by Regulation (EU) № 1407/2013: In the case of point 14 the total amount of the de minimis aid for the recipient/applicant and the enterprises with which he forms a "single undertaking" does not exceed the equivalent in leva of 100 000 Euro for a period of three consecutive years (years 2012, 2013, 2014): The recipient/applicant is active in services of general economic interest as covered by Regulation (ЕU) № 360/2012 (OJ, L 114/8 of 26.4.2012): In the case of affirmative response in point 15, the total amount of de minimis aid to the recipient/applicant and the enterprises with which he forms a "single undertaking" does not exceed the equivalent in leva of 500 000 Euro for a period of three consecutive years (years 2012, 2013, 2014): The recipient/applicant is active in the agriculture sector, as covered by Regulation (EU) № 1408/2013: In the case point 16 the total amount of the de minimis aid for the recipient/applicant and the enterprises with which he forms a "single undertaking" does not exceed the equivalent in leva of 15 000 Euro for a period of three consecutive years (years 2012, 2013, 2014): The recipient/applicant is active in the fishery and aquaculture sector, as covered by Regulation (EU) № 1408/2013 of the Commission, that will amend Regulation (EC) № 875/2007: In the case point 17 the total amount of the de minimis aid for the recipient/applicant and the enterprises with which he forms a "single undertaking" does not exceed the equivalent in leva of 30 000 Euro for a period of three consecutive years (years 2012, 2013, 2014): The undertaking keeps analytical accountancy, ensuring separation of activities and/or distinction of costs, proving that the aid is intended for the activity in point 6. /Must be completed only if the undertaking performs more than one type of activity/ For the same acceptable (eligible) costs I have received a state aid by other finance sources. ∑d ∑e YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO 4 19а. If you marked “YES” in point 19, please fill in the following information: Reason for the receipt of the aid Aid administrator (i.e. Nr. of EU Commission’s decision to approve a (title and UIC/BULSTAT) measure; a legal provision form a law, Regulation, etc.) 20. In case of a change in the circumstances declared herewith I am obliged to submit a new Declaration within 5 working days from the date of change occurred. I am aware, that for mispresenting information in the Declaration I shall bear a penal responsibility pursuant to Art. 313 of the Criminal Code. 21. DATE: ………………20_____ DECLARER: …………………………………… /signature and stamp/ 5
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