[Federal Register Volume 59, Number 107 (Monday, June 6, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-13701]
[[Page Unknown]]
[Federal Register: June 6, 1994]
Form M-2
Class II
Motor Carriers of Property and Household Goods
Approved by: OMB
3120-xxxx
Expires 12/31/97
Annual Report
----------------------------------------------------------------------
Motor Carrier No.
----------------------------------------------------------------------
----------------------------------------------------------------------
Name of Company
----------------------------------------------------------------------
Doing Business As
----------------------------------------------------------------------
Present Address
----------------------------------------------------------------------
City
----------------------------------------------------------------------
State Zip Telephone No.
to the Interstate Commerce Commission for the period ending December
____, 1994
Notice
1. Three copies of this Annual Report shall be completed. Two of
the copies must be filed with the Office of Economic and Environmental
Analysis, Interstate Commerce Commission, Washington, DC 20423, by
March 31 of each year, and one copy retained by the carrier.
2. Instructions for completion of each line of the schedules are
contained in the schedules.
3. Every inquiry must be definitely answered. Where the word
``none'' truly and completely states the fact, it should be given as
the answer. If any inquiry is inapplicable, the words ``not
applicable'' should be used.
4. Wherever the space provided in the schedules is insufficient to
permit a full and complete statement of the requested information,
inserts should be prepared and appropriately identified by the number
of the schedule.
5. All entries should be made in a permanent black ink or typed.
Those of a contrary character must be indicated in parenthesis. Items
of an unusual character must be indicated by appropriate symbols and
explained in footnotes.
6. Throughout this report the ``year'' means the year covered by
the report, whether a calendar year or a 13-period accounting year; the
``start of the year'' means the beginning of the first business day of
the year in question; the ``close of the year'' means the last business
day of the year in question. In case the report is made for a shorter
period than 1 year, the ``start of the year'' means the first day of
the period; and the ``close of the year'' means the last day of the
period. All items/accounts are to be in conformance with Generally
Accepted Accounting Principles (GAAP).
7. Money items, throughout the annual report form should be shown
in whole dollars.
8. Place MC Number and year on each page as shown.
Table of Contents
General Information & Certification
Schedule 100--Balance Sheet
Schedule 200--Income Statement
Schedule 300--Revenue Equipment Owned and Leased
Schedule 400--Type of Carrier
General Information
1. Officer, Owner, or Partner to whom correspondence is to be
addressed:
----------------------------------------------------------------------
(Name)
----------------------------------------------------------------------
(Title)
2. Filing status
Corporation____
Corporation Sub-S____
Partnership____
Individual (Sole Proprietorship)____
3. Type of Authority
Certificate____
Permit____
Both____
4. Accounting records are maintained at:
----------------------------------------------------------------------
Address
----------------------------------------------------------------------
City State Zip
Certification
I hereby certify that this report was prepared by me or under my
supervision, that I have examined it, and that the items herein
reported on the basis of my knowledge are correctly shown.
----------------------------------------------------------------------
Your Name
----------------------------------------------------------------------
Signature
----------------------------------------------------------------------
Title
----------------------------------------------------------------------
Date
ICC Auth. No. Year 19
Schedule 100--Balance Sheet
----------------------------------------------------------------------------------------------------------------
LineNo. Balance close of Balance start of
Item Instructions year year
----------------------------------------------------------------------------------------------------------------
ASSETS
----------------------------------------------------------------------------------------------------------------
1...... Current Assets........... All current assets. (Cash, cash .................... ....................
equivalents, accounts and notes
receivable, materials and
supplies, and any other assets
that are not considered long-
term.).
2...... Carrier Operating The undepreciated value of all .................... ....................
Property. tangible operating property.
3...... Less Accumulated The total of accumulated .................... ....................
Depreciation. depreciation for the tangible
property shown in Line 2.
4...... Net Carrier Operating Line 2 minus Line 3. .................... ....................
Property.
5...... Total Intangible Property Intangible assets. .................... ....................
6...... Other Assets............. All other long-term assets such .................... ....................
as non-operating property (net
of depreciation), long-term
notes and accounts receivable,
receivables from affiliates,
deferred income tax debits, and
other deferred debts.
7...... TOTAL ASSETS............. Line 1 plus Line 4 plus Line 5 .................... ....................
plus Line 6.
----------------------------------------------------------------------------------------------------------------
LIABILITIES
----------------------------------------------------------------------------------------------------------------
8...... Current Liabilities...... All current liabilities. .................... ....................
(Accounts and Notes receivable,
the portion of long-term debt
due within one year, and any
other liabilities payable
within one year).
9...... Long-Term Debt........... All debt due after one year. .................... ....................
Includes all types of bonds,
mortgages, notes, etc.
outstanding, with more than one
year of payments remaining.
10..... Other Long-Term Includes deferred tax credits .................... ....................
Liabilities. and any other deferred credits
or liabilities of more than one
year duration.
11..... TOTAL LIABILITIES........ Sum of Lines 8 through 10. .................... ....................
12..... TOTAL EQUITY/CAPITAL..... Line 7 minus Line 11. .................... ....................
13..... TOTAL LIABILITIES AND Line 11 plus Line 12. .................... ....................
EQUITY.
----------------------------------------------------------------------------------------------------------------
ICC Auth. No.
Schedule 200--Income Statement
----------------------------------------------------------------------------------------------------------------
LineNo. Item Instructions Amount for current year
----------------------------------------------------------------------------------------------------------------
1...... Freight Revenue-- All general freight revenues derived from common .........................
Intercity Common Carrier. carriage of freight on an intercity basis.
Excludes any contract carriage, household goods,
or local traffic revenues.
2...... Freight Revenue-- All general freight revenues derived from .........................
Intercity Contract contract carriage of freight on an intercity
Carrier. basis. Excludes any common carriage, household
goods, or local traffic revenues.
3...... Household Goods Carrier All intercity common and contract carriage .........................
Operating Revenue. derived from the movement of household goods.
4...... All Other Operating Includes all local carriage, as well as any other .........................
Revenue. operating revenue not shown in lines 1, 2, and
3.
5...... TOTAL OPERATING REVENUE.. Sum of Lines 1 through Line 4. .........................
6...... Carrier Operating All operating expenses related to operations .........................
Expenses. other than those associated with the movement of
household goods.
7...... Household Goods Carrier All operating expenses associated with the .........................
Operating Expenses. movement of household goods.
8...... TOTAL OPERATING EXPENSES. Line 6 plus Line 7. .........................
9...... NET CARRIER OPERATING Line 5 minus Line 8. .........................
INCOME.
10..... Total Other Income The net of all other revenues and expenses from .........................
(Expense). non-carrier operations. If negative, show in ().
11..... Ordinary Income Before Line 9 plus Line 10. .........................
Taxes.
12..... Total Provision for All paid and deferred income taxes, less any .........................
Income Tax. applicable investment tax credits.
13..... Ordinary Income (Loss) Line 11 minus Line 12. .........................
After Taxes.
14..... Extraordinary Income Any after-tax extraordinary income or losses. .........................
(Loss) (Net of Taxes).
15..... NET INCOME (LOSS)........ Line 13 plus Line 14. .........................
----------------------------------------------------------------------------------------------------------------
ICC Auth. No. Year 19
Schedule 300--Revenue Equipment Owned and Leased
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
No. units @ No. units retired/
Line Description (a) Instructions (b) beginning of year No. units required disposed of during No. units @ end of
No. (c) during year (d) year (e) year (f)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
1..... Trucks--Owned............ Trucks actually owned by carrier .................... .................... .................... ....................
2..... Trucks--Leased........... Trucks leased, both with and without drivers .................... .................... .................... ....................
3..... Truck Tractors--Owned.... Tractors actually owned by carrier .................... .................... .................... ....................
4..... Truck Tractors--Leased... Tractors leased, both with and without drivers .................... .................... .................... ....................
5..... Van Trailers & Semis..... Both short and long van trailers and semis, including refers, .................... .................... .................... ....................
tankers, etc
6..... Other Revenue Equipment.. All other revenue equipment used in carrier operations .................... .................... .................... ....................
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Instructions for Columns
Column (c) List the number of each type of unit owned or leased at the beginning of the year.
Column (d) List the number of each type of unit acquired by ownership or lease during the year.
Column (e) List the number of each type of unit retired or disposed of by ownership or lease during the year.
Column (f) List the number of each type of unit owned or leased at the end of the year.
Schedule 400.--Type of Carrier
This schedule will be used to classify motor carriers.
Indicate which type of carriage (general freight, household goods, or
specific commodities) makes up the majority of your revenues.
If you are a specific commodity carrier, indicate which type.
All commodities not classified as household goods or specific
commodities should be considered as general freight.
COMMODITY REVENUE GROUP
General Freight
Household Goods
Specific Commodities (Note)
(Note) OTHER SPECIFIC COMMODITIES (x) Major Commodities that apply
[] Heavy Equipment
[] Liquid Petroleum Products
[] Refrigerated Liquid Products
[] Refrigerated Solid Products
[] Dump Trucking
[] Agricultural Commodities
[] Motor Vehicles
[] Armored Truck Service
[] Building Material
[] Film Associated Commodities
[] Forest Products
[] Mine Ore Not Including Coal
[] Retail Store Delivery Service
[] Explosives Or Dangerous Material
Other (Specify) ________________
[FR Doc. 94-13701 Filed 6-3-94; 8:45 am]
BILLING CODE 7035-01-P