Form MP-1: Quarterly and Annual Report - Motor Carriers of Passengers - Federal Motor Carrier Safety Administration

U.S. Department of Transportation

Keyword Links | Contact Us | Español

Federal Motor Carrier Safety Administration

Home

Rules & Regulations

Registration & Licensing

Home > Forms > Form MP-1: Quarterly and Annual Report - Motor Carriers of Passengers

Overview

Online Forms

Online Registration

Complaint with a Mover

Downloadable Forms

Registration & Licensing

Accident Countermeasures

Crash Data Collection

Drug & Alcohol Testing

Financial

Hazardous Materials

Hours-of-Service of Drivers

Inspection, Repair and Maintenance

Qualifications of Drivers

Esta página está solamente disponible en inglés

Form MP-1: Quarterly and Annual Report - Motor Carriers of Passengers
	Print

Approved by OMB #2126-0031
Expires 9/30/2009

Calendar/Fiscal Year

Motor Carrier Number
USDOT Number
Name of Company
Trade or Doing Business As
Street Address
City
State
ZIP Code
Telephone Number

1. __________ Period covered

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Annual

2. Type of operation based on major sources of revenues

Regular route service

Charter service

3. If respondent is a consolidated group, list and describe all entities making up the consolidation.

4. If a merger, consolidation, or change in the company or consolidated group occurred during the year, please describe.

5. Number of Passengers:

NOTE: Negative numbers should be entered in parentheses. For example, if line 8 is negative 360,483, it should be written as (360,483).

(a) Intercity regular route

Respondent only

Consolidated

(b) Charter or special

Respondent only

Consolidated

(c) Local or commuter

Respondent only

Consolidated

(d) Total passengers

Respondent only

Consolidated

6. Revenue:

(a) Intercity regular route

Respondent only

Consolidated

(b) Charter or special

Respondent only

Consolidated

(c) Local or suburban

Respondent only

Consolidated

(d) Express and other revenue

Respondent only

Consolidated

(e) Total operating revenue

Respondent only

Consolidated

7. Total Operating Expenses

Respondent only

Consolidated

8. Net Operating Income (Loss) - Line 6(e) minus Line 7.

Respondent only

Consolidated

9. Other Income (Deductions)

Respondent only

Consolidated

10. Extraordinary Items, Net of Taxes

Respondent only

Consolidated

11. Total Provision for Income Taxes

Respondent only

Consolidated

12. Net Income (Loss) - Sum of Lines 8 through 11.

Respondent only

Consolidated

13. Total Assets

Respondent only

Consolidated

14. Total Liabilities

Respondent only

Consolidated

15. Shareholders' Equity

Respondent only

Consolidated

16. Operating Ratio - Line 7 divided by Line 6(e).

Respondent only

Consolidated

Certification

I certify that this form 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 and belief are correctly shown.

Name
Official Title
Address
City, State, Zip
Telephone No.
Signature
Date

Return the completed form to:

Department of Transportation
Federal Motor Carrier Safety Administration
IT Operations Division
1200 New Jersey Avenue SE
Washington, DC 20590
Phone: 202-366-4023
Fax: 202-366-3477