Annex I Form of summary information to be provided whenever an aid scheme exempted by this Regulation is implemented and whenever an individual aid exempted by this Regulation is granted outside any aid scheme

Summary information on State aid granted in conformity with Commission Regulation (EC) No …/2004.

Summary information to be filled in.

Explanatory remarks.

Member State.

Region (indicate the name of the region if the aid is granted by a subcentral authority).

Title of aid scheme or name of company receiving an individual aid (indicate the name of the aid scheme or in the case of individual aid, the name of the beneficiary).

Legal basis (indicate the precise national legal reference for the aid scheme or for the individual aid).

Annual expenditure planned under the scheme or overall amount of individual aid granted to the company (amounts are to be given in euro or, if applicable, national currency). In the case of an aid scheme, indicate the annual overall amount of the budget appropriation(s) or the estimated tax loss per year for all aid instruments contained in the scheme. In the case of an individual aid award: indicate the overall aid amount/tax loss. If appropriate, indicate also for how many years the aid will be paid in instalments or over how many years tax losses will be incurred. For guarantees in both cases, indicate the (maximum) amount of loans guaranteed).

Maximum aid intensity (indicate the maximum aid intensity or the maximum aid amount per eligible item).

Date of implementation (indicate the date from which aid may be granted under the scheme or when the individual aid is granted).

Duration of scheme or individual aid award (indicate the date (year and month) until which aid may be granted under the scheme or in the case of an individual aid and if appropriate the expected date (year and month) of the last instalment to be paid).

Objective of aid (it is understood that the primary objective is aid to SME. Indicate the further (secondary) objectives pursued).

Indicate which one of Articles 4 to 12 is used and the eligible costs covered by the scheme or individual aid.

Sector(s) concerned (indicate whether the scheme applies to the sea fishing sector, and/or to the aquaculture sector, and/or to the processing and/or marketing sector). Indicate the subsectors where appropriate.

Name and address of the granting authority.

Web address (indicate the internet address where the full text of the scheme or the criteria and conditions under which individual aid is granted outside of an aid scheme can be found).

Other information.