Form Mcs-3 - Motor Carrier Services Annual Report Form Page 2
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6Section E: Corporation (complete only if Section B Line C is checked)
(A) Directors
Address
1.
_________________________________________
______________________________________________
2.
_________________________________________
______________________________________________
3.
_________________________________________
______________________________________________
4.
_________________________________________
______________________________________________
(B) Principal General Offi cers
Address
1.
_________________________________________
______________________________________________
2.
_________________________________________
______________________________________________
3.
_________________________________________
______________________________________________
4.
_________________________________________
______________________________________________
(C) Principal Stockholders
Name
Address
Number of Shares
1.
____________________________
___________________________________
____________________
2.
____________________________
___________________________________
____________________
3.
____________________________
___________________________________
____________________
4.
____________________________
___________________________________
____________________
Section F: Revenue Equipment
(The information below must be given for equipment in service at the end of the year.)
Trucks
Truck
Semi-
Buses
Vans
Limousines
Other
Total
Tractors
trailers
Total Vehicles
Owned
Total Vehicles
Leased
Total Number of
Vehicles
Section G: Annual Mileage
Transportation of
Transportation of
Transportation of
Household Goods
Medicaid Passengers
Passengers
Total Intrastate Mileage
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Parent category: Financial