[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

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Motor Carrier No.
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Name of Company

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Doing Business As

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Present Address

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City

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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:
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(Name)

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(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:
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Address

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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.
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Your Name

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Signature

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Title

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Date
ICC Auth. No.      Year 19   

                                          Schedule 100--Balance Sheet                                           
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LineNo.                                                                 Balance close of      Balance start of  
                    Item                      Instructions                    year                  year        
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                                                     ASSETS                                                     
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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.                                                                                               
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ICC Auth. No.      

                                         Schedule 200--Income Statement                                         
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LineNo.             Item                               Instructions                     Amount for current year 
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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.                              .........................
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ICC Auth. No.      Year 19

                                                                        Schedule 300--Revenue Equipment Owned and Leased                                                                        
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                                                                                                               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)      
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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                 ....................  ....................  ....................  ....................
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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