0001387131-17-001283.txt : 20170308 0001387131-17-001283.hdr.sgml : 20170308 20170308201724 ACCESSION NUMBER: 0001387131-17-001283 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20170308 FILED AS OF DATE: 20170308 DATE AS OF CHANGE: 20170308 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FS Energy Total Return Fund CENTRAL INDEX KEY: 0001685531 IRS NUMBER: 816323893 STATE OF INCORPORATION: DE FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 201 ROUSE BOULEVARD CITY: PHILADELPHIA STATE: PA ZIP: 19112 BUSINESS PHONE: 215-495-1150 MAIL ADDRESS: STREET 1: 201 ROUSE BOULEVARD CITY: PHILADELPHIA STATE: PA ZIP: 19112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kelly Michael John CENTRAL INDEX KEY: 0001700164 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 811-23205 FILM NUMBER: 17676503 MAIL ADDRESS: STREET 1: 201 ROUSE BOULEVARD CITY: PHILADELPHIA STATE: PA ZIP: 19112 3 1 kelly-form3_030617.xml OWNERSHIP DOCUMENT X0206 3 2017-03-08 1 0001685531 FS Energy Total Return Fund XFEYX 0001700164 Kelly Michael John C/O FS ENERGY TOTAL RETURN FUND, 201 ROUSE BOULEVARD PHILADELPHIA PA 19112 0 0 0 1 Investment Committee Member /s/ Stephen S. Sypherd, Attorney-in-fact 2017-03-08 EX-24 2 ex24.htm POWER OF ATTORNEY
 

 

POWER OF ATTORNEY

 

I, Michael Kelly, an investment committee member of FS Energy Advisor, LLC, a Delaware limited liability company (the “Company”), hereby authorize and designate each of Michael C. Forman and Stephen S. Sypherd as my agent and attorney-in-fact, with full power of substitution to:

 

(1)       prepare, execute in the undersigned’s name and on the undersigned’s behalf, and submit to the U.S. Securities and Exchange Commission (the “SEC”) a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or any rule or regulation of the SEC;

 

(2)       prepare and sign on my behalf any Form 3, Form 4 or Form 5 under Section l6 of the Exchange Act and file the same with the SEC and each stock exchange on which the Company’s shares of common stock may be listed;

 

(3)       prepare and sign on my behalf any Form 144 Notice under the Securities Act of 1933, as amended (the “Securities Act”), and file the same with the SEC; and

 

(4)       take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Exchange Act, Section 5 of the Securities Act, or Rule 144 promulgated under the Securities Act.

 

The undersigned agrees that each such attorney-in-fact herein may rely entirely on information furnished orally or in writing by the undersigned to such attorney-in-fact. The undersigned also agrees to indemnify and hold harmless the Company and each such attorney-in-fact against any losses, claims, damages or liabilities (or actions in these respects) that arise out of or are based upon any untrue statements or omission of necessary facts in the information provided by the undersigned to such attorney-in fact for purposes of executing, acknowledging, delivering or filing Forms 3, 4 or 5 (including amendments thereto) or Form ID and agrees to reimburse the Company and such attorney-in-fact for any legal or other expenses reasonably incurred in connection with investigating or defending against any such loss, claim, damage, liability or action.

 

This Power of Attorney supersedes any power of attorney previously executed by the undersigned regarding the purposes outlined in the first paragraph hereof ("Prior Powers of Attorney"), and the authority of the attorneys-in-fact named in any Prior Powers of Attorney is hereby revoked.

 

This Power of Attorney shall remain in effect until the undersigned is no longer required to file Forms 3, 4, 5 and 144 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

Signed, sealed and delivered in the presence of:

 

 

  By: /s/ Michael Kelly
    Name: Michael Kelly
    Title:  Investment Committee Member

 

 

 

 

/s/ Allison Zack  
Notary Public  

 

[NOTARIAL SEAL]

 

 

 

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