Form 5900-240 TPEM Equipment Mfg Report v2.2

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Transition Program for Equipment Manufacturers

Equipment Manufacturer Report

Version 2.2; Last modified: April 2014

Equipment Manufacturer Basic Information

Submission Date:

Manufacturer Name:

40 CFR Part:

Contact Name:

Email Address:

Phone #:

Report Year:

Manufacturer Address:

Address 1

Address 2

City

State

ZIP

Country

Small Volume Manufacturer:

Foreign Equipment Manufacturer:

Among your comments, please mention any changes from previous years such as a change in parent company.

Comments:

TPEM Report Data

For Part 1039 Only:

For Part 89 and Part 1039:

Provide the name of each company that produced engines for the equipment you manufactured under the TPEM provisions of Part 1039, if different than specified under paragraph 1039.625(g)(1)(iv).

•For the current report year, provide the applicable year, TPEM type, and total number of units sold for each power category, based on actual U.S.-directed production information (Total Prod. Volume). The start and end dates represent all the years that you are participating in the program for the given allowance type and power category, not just the current calendar (report) year. Provide the number of units in each power category that you have sold under the provisions of §89.102 or §1039.625 (Exempted Engine Prod. Vol) during the calendar year. If you used the percent-of-production provisions, include the percentage of equipment with exempted engines for the power category and calendar year (% of Production). Note that reporting the Total Production Volume is optional for Small Volume selections. •For prior years, provide the number of units in each power category that you have sold under the provisions of §89.102 or §1039.625 (Exempted Engine Prod. Vol). If you used the percent-of-production provisions, include the percentage of equipment with exempted engines for the power category and calendar year (% of Production).

Engine Manufacturer Name

Engine Manufacturer Address

Calendar year

Power Category

TPEM Type

Start Date (Year)

End Date (Year)

Exempted Engine Prod. Volume

Total Prod. Volume*

% of Production

* Reporting the Total Production Volume is optional for Small Volume selections.

TPEM Summary

For Part 89 and Part 1039:

•For percent-of-production, for each power category, please provide the cumulative numbers and percentages of units for all the units you have sold under §89.102 or §1039.625. Also, include the maximum allowed cumulative percentage, based on the provisions of §89.102 or §1039.625. •For small volume, for each power category, please provide the cumulative number of units with exempted engines you have sold under §89.102 or §1039.625 and the maximum allowed number of units with exempted engines, based on the provisions of §89.102 or §1039.625.

Power Category

Cumulative Exempted Engine Prod. Vol.

TPEM Type

Start Date (Year)

End Date (Year)

Max. Allowed Cumulative Exempted Engine Prod. Vol.

Cumulative % of Production

Max. Allowed Cumulative % of Production