Form MA-172 Financial Report of Ship Carriers (Part 1)

Application and Reporting Elements for Participation in the Maritime Security Program

MA-172_Financial_Report_of_Ship_Carriers_(Part_I)[1]

Application and Reporting Elements for Participation in the Maritime Security Program

OMB: 2133-0525

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Form MA-172
OMB No. 2133-0005
Expiration Date: 01/31/2021

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 2133-0005. Public reporting for this collection of
information is estimated to be approximately 10 hours per
response, including the time for reviewing instructions,
completing and reviewing the collection of information.
All
responses to this collection of information are voluntary. 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,
Maritime Administration, MAR-390, 1200 New Jersey Avenue,

SE, Washington, DC 20590.

NOTICE
Presumption of Confidentiality

Each part of the financial reports of data submitted as prescribed by
46 CFR 232, other than Schedule 1 01 - Identity of Respondent and
Schedules 102 and 103, only with respect to the names and titles of
Directors and Principal Officers and Employees, shall carry an initial
presumption of being privileged or confidential within the meaning of 5
U.S.C. 552(b)(4). In the event of a request for any portion of the reports
or data under 5 U.S.C. 552, the submitter will be notified of such
request and given the opportunity to comment. Any claim of
confidentiality shall be specifically identified at that time by
memorandum or letter stating the basis, in detail, for such assertion of
exemption, including but not limited to statutory and decisional
authorities. Those parts not so claimed by the submitter to be
confidential will be disclosed and those parts so claimed will be
subject to initial determination by the Freedom of Information Act
Officer.

INDEX

Title of Schedule

Schedule No.

Page No.

Instructions

-

1

Estimate of Reporting Burden

-

2

Identity of Respondent and Related Parties

101

3

Directors

102

4

Off icers

103

4

Balance Sheet

200

5

Income Statement

300

6

Floating Equipment, Barges and Drilling Rigs

210

7

Restricted Funds

220

8

Notes Payable and Debt Due Within One Year

230

8

Long-Term Debt, Operating Leases, Rentals

240

9

Vessel Operating Statement

310

10

Other Shipping Operations Revenue and Expense

320

11

-

12

Oath

INSTRUCTIONS
1. Submission of the Financial Report, Form MA-172 shall be made semiannually, that is, at the end of
six months after the commencement of the calendar or fiscal year and at the end of the calendar or
fiscal year. Subject to the materiality standard provided in item 6 of these instructions, all Schedules in
the form MA-172 are required to be submitted for the calendar year end or fiscal year end reporting
period. For the six months semiannual period, the submission of Schedules 200, 300, and the Oath is
required. Submission of any other Schedule for the six month reporting period is at the option of the
Respondent. At all times, however, the Respondent is on notice that the Administration reserves the
right to request, and to receive, from the Respondent all current financial information.
2. If additional space is needed on any schedule, a separate sheet may be used showing the additional
information, the Respondent's accounting period and Schedule number. If the information to any
Schedule is not applicable, or is applicable but there is no information to be reported, the Respondent
may (1) enter on the Schedule the term ''not applicable'' or ''none,'' or, (2) remove the Schedule and
indicate in the Oath (page 12) the Schedule or Schedules not submitted. For purposes of this report,
dollar amounts may be rounded to the nearest thousand. If you elect to use this method, the captions of
all statements and schedules should carry an appropriate legend to indicate that dollars are rounded to
the nearest thousand, i.e., ''dollars in thousands'' or ''$000 ornitted.''
3. Respondent may submit, in place of any Schedule(s) contained in the Form MA-172, (a) a schedule
or schedules from its audited financial statements or, (b) a computer generated schedule, provided the
data contained in the substituting schedule is in the same format and is annotated with the appropriate
account numbers required in the Form MA-172.
4. The Prior Period balances requested on the Balance Sheet and Income Statement need be
completed
only when there have been accounting policy changes necessitating a restatement of prior period
statements in accordance with FASB pronouncements.
5. Definitions:
Administration means the Maritime Administration.
Respondent means the person or company filing the Form MA -172.
Related Party means the company, companies or persons that directly or indirectly control or are
controlled by, or are under the common control with the Respondent. The term ''control'' means the
ability to determine the action of an organization as well as legal control, whether maintained or
exercised, through reason, method or circumstances surrounding organization or operation, by or
through common directors, officers, stockholders, partners, partnerships, voting trusts, holding or
investment companies, joint venture or by any other direct or indirect means. Related Party also
includes those companies (''sister companies'') related through common or related parent company or
companies.
6. Unless otherwise indicated, Schedules requiring itemization of balances of $100,000 or more mean
those individual balances which are equal to the greater of $100,000 or 10 percent of total assets (or
gross revenues if the item is included in an income statement account) at the close of the reporting
period.

1

7. An appropriate Vessel Operating Statement shall be prepared by the Respondent. For the berth line
vessel operators and bulk vessel operators a schedule is required for each vessel type (on an individual trade
route basis for the liner operators). A separate Vessel Operating Statement shall also be submitted for idle
vessels. In the event costs entered into the ''Operating Expenses'' section of the Vessel Operating Statements do
not agree with balances shown in the Income Statement (Schedule 300) because of the inclusion of costs
recorded in accounts other than in account 700, Vessel Expense, account 750 Vessel Port Call Expense, and
account 760 Cargo Handling Expense, the Respondent shall indicate the nature and amount of additional
expense included in Schedule 31 0, the basis of allocation, if applicable, and the account title and account
number where such costs are recorded.

ESTIMATE OF REPORTING BURDEN
In order to comply with OMB requirements under the Federal Reports Act, it is requested that the
Respondent furnish an estimate of the number of hours required to complete this report and the
cost of preparation. These estimates should include the number of hours attributable to preparing
the report and for any compilation of information not generally maintained or used by the
Respondent for purposes other than reporting to the Maritime Administration.

Total Hours

Cost of Preparation $

2

Schedule 101 - Identity of Respondent and Related Parties
Use the exact name of the Respondent and Affiliated companies. The words ''The'' and ''Company'' are to be used
only if actually part of the company name.
1. Name of Respondent:
2. Date of Incorporation:
3. Place of Incorporation:
Related Parties (as defined in item 5, definitions on page 1)
1. If affiliated company has controlling interest in Respondent, indicate with numeral '''I '' in column ''Code No.''
2. If Respondent has a controlling interest in affiliated company, indicate with numeral ''2'' in column ''Code No.''
3. If Respondent is a ''sister company'' to the affiliated company, indicate with numeral ''Y in column ''Code No.''
4. In the column ''Intermediary'' show name of person or company through which control is accomplished
(where applicable) for all responses 1 or 2 in column ''Code No.''

An organization chart which clearly indicates the relationships listed above may be substituted for this schedule.
Code No.

Company Name

Code No.

3

Intermediary

Schedule 102 - Directors
1. Give particulars for the various directors, officers and
employees of the respondent at the close of the year.
2. State in the columns ''number voting shares'' the number
of shares, other than directors' qualifying shares, that
were beneficially owned, directly or indirectly, by each
director or principal officer at the close of the year. This
includes shares owned of record, shares owned
through holding companies, trusts and other mediums,
and shares owned but held in the names of brokers or
others. Insert ''none'' where applicable.

Name of Director

3. In Schedule 103 give the name and title of the principal
general officers of the company. If there are receivers,
trustees, or committees who are recognized as the
controlling management, these should also be listed.
4. Only respondents participating in a Title XI Reserve
Fund and Financial Agreement, or similar contractual
arrangement, must list Remuneration. Names and
titles of all employees whose compensation exceeds
$1 00,000 per annum, or which are in excess of a
maximum salary covenant, must be listed.
Remuneration means compensation, payment, or
reward in any form for services rendered, including
compensation not contracted for.

Term Beginning
Date

Term Expiration
Date

Number Voting
Shares

Remuneration

Schedule 103 - Principal Officers and Employees
Name

Title

Department

4

Number Voting
Shares

Remuneration

Schedule 200 - BALANCE SHEET
(dollars in thousands)
Account Number

Account Description

Current Period Amount

Prior Period Amount

(

)

(

)

(

)

(

)

CURRENT ASSETS:
100
120
140
150
160
170

Cash
Marketable Securities
Notes Receivable
Accounts Receivable
Allowance for Bad Debts
Other Current Assets
Total Current Assets

NON-CURRENT ASSETS:
300
310
330
360
380
390

Restricted Funds
Investments
Property and Equipment (net of depreciation)
Deferred Charges
Other Assets
Intangible Assets
Total Non-Current Assets

TOTAL ASSETS
CURRENT LIABILITIES:
400
420
440
450
470

Notes Payable
Accounts Payable
Accrued Liabilities
Other Current Liabilities
Advance Payments/Deposits
Total Current Liabilities

NON-CURRENT LIABILITIES:
510
530
560

Long-Term Debt
Other Liabilities
Deferred Credits
Total Non-Current Liabilities

Total Liabilities
OWNERS EQUITY:
570
580
590

Invested Capital
Treasury Stock
Retained Earnings

Total Owners Equity

TOTAL LIABILITIES AND OWNERS EQUITY ...

5

Schedule 300 - INCOME STATEMENT
for the Period from

to

(dollars in thousands)
Account Number

Account Description

600

Shipping Revenue (Schedule 301)

640

Operating-Differential Subsidy

650

Other Shipping Operations Revenue
(Schedule 302)

Current Period Amount

Total Revenue from Shipping Operations
700

Shipping Expense (Schedule 310)

750

Vessel Port Call Expense

760

Cargo Handling Expense

800

Inactive Vessel Expense
(Schedule 31 0)

860

Other Shipping Operations Expense
(Schedule 320)
Total Expense of Shipping Operations
Gross Income from Shipping Operations

670

Other Revenue

950

Other Expense

*940

Depreciation and Amortization Expense

*960

Interest Expense
Net Income before Income Taxes

970

Provision for Income Taxes
Net Income after Income Taxes

990

Effect of Change in Accounting Policy

995

Income or (Loss) from Extraordinary Items
Net Income

* Totals should include amounts shown on Schedule 301.

6

Prior Period Amount

ACCUMULATED
DEPRECIATION/AMORTIZATION

Schedule 210 - Floating Equipment, Barges and Drilling Rigs
1. Enter name of vessel
2. Group barges and drill rigs by size and type
and indicate number of units in group

No. of
Units

3. Indicate owned (1) or leased (2)

OTHER PROPERTY AND EQUIPMENT

Year
Built

Year
Acquired

Gross
Tons

Dead
Weight
Tons

TEU's

No. of
Units

Other Floating Equipment
Containers
Chassis and Trailer Equipment
Terminal Property and Cargo Handling Equipment
Leaseholders and Improvements
Capital Leases - Containers
Construction Work-in-Progress
Other (Describe)

7

Additions
Capitalizable (Deductions)
Cost
during
Period

Book
Value
End of
Period

Balance
Beginning of
Period

Additions
(Deductions)
during
Period

Balance
End of
Period


File Typeapplication/pdf
AuthorJackson, Barbara (MARAD)
File Modified2018-02-16
File Created2014-10-22

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