Form 41, Schedule B-1 - Balance Sheet: Liabilities & Stockholders' Equity
OMB No.: 2138-0013, Expiration Date: 5/31/2008
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Paperwork Reduction Act Burden Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2138-0013. Public reporting for Schedule B-1, Balance Sheet is estimated to be approximately 7 hours per response, including the time for reviewing instructions, completing and reviewing the collection of information. All responses to this collection of information are mandatory. This report is released to the public unless respondent receives a grant of confidentiality. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Bernie Stankus, OAI/BTS/RITA, RTS-42, 1200 New Jersey Avenue, SE, Washington, D.C. 20590 or e-mail – bernard.stankus@dot.gov.
Air Carrier _____________________
Operation _____________________
Quarter Ended _____________________, 20_____________________
|
CURRENT LIABILITIES |
|
2000 |
Current Maturities of Long Term Debt |
____________________ |
2005 |
Notes Payable - Banks |
____________________ |
2015 |
Notes Payable - Others |
____________________ |
2021 |
Trade Accounts Payable |
____________________ |
2025 |
Accounts Payable - Other |
____________________ |
2080 |
Current Obligations Under Capital Leases |
____________________ |
2110 |
Accrued Salaries & Wages |
____________________ |
2120 |
Accrued Vacations |
____________________ |
2125 |
Accrued Interest |
____________________ |
2130 |
Accrued Taxes |
____________________ |
2140 |
Dividends Declared |
____________________ |
2160 |
Air Traffic Liability |
____________________ |
2190 |
Other Current Liabilities |
____________________ |
2199 |
Total Current Liabilities |
____________________ |
|
NON-CURRENT LIABILITIES |
|
2210 |
Long Term Debt |
____________________ |
2240 |
Advances from Associated Companies |
____________________ |
2250 |
Pension Liability |
____________________ |
2280 |
Non-Current Obligations - Capital Leases |
____________________ |
2290 |
Other Non-Current Liabilities |
____________________ |
2299 |
Total Non-Current Liabilities |
____________________ |
|
DEFERRED CREDITS |
|
2340 |
Deferred Income Taxes |
____________________ |
2345 |
Deferred Investment Tax Credits |
____________________ |
2390 |
Other Deferred Credits |
____________________ |
2399 |
Total Deferred Credits |
____________________ |
|
STOCKHOLDERS' EQUITY |
|
2820 |
Preferred Shares Issued |
____________________ |
2840 |
Common Shares Issued |
____________________ |
2860 |
Subscribed and Unissued |
____________________ |
2869 |
Total Capital Stock |
____________________ |
2890 |
Additional Capital Invested |
____________________ |
2899 |
Total Paid in Capital |
____________________ |
2900 |
Retained Earnings |
____________________ |
2959 |
Total Stockholders' Equity |
____________________ |
2990 |
Less Treasury Stock |
____________________ |
2995 |
Net Stockholders' Equity |
____________________ |
2999 |
TOTAL LIABILITIES & STOCKHOLDERS' EQUITY |
____________________ |
BTS Form 41 Schedule B-1
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