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

Member State:

Region/Authority granting the aid:

Title of aid scheme/name of company receiving an ad-hoc aid:

Legal basis:

Annual expenditure planned under the scheme or amount of ad-hoc aid granted:

Maximum aid intensity:

Date of entry into force:

Duration of the scheme or individual aid award (not later than 30. June 2014); indicate:

• under the scheme: the date until which aid may be granted:

• in the case of an ad-hoc aid: the expected date of the last instalment to be paid:

Objective of aid:

Indicate which of Articles 8 to 24 is used:

Activity concerned:

Name and address of the granting authority:

Web address where the full text of the scheme or the criteria and conditions under which ad-hoc aid is granted outside of an aid scheme can be found:

Motivation: indicate why a State aid scheme has been established instead of assistance under the European Fisheries Fund: