You are here
Form 291-A - Statement of Operations and Summary Statistics for Section 41103
Form 291-A - Statement of Operations and Summary Statistics for Section 41103
Carrier _____________________
Year Ended December 31, __________
Operating Revenues and Expenses
| Transport Revenue: | |
| Property | 1 ________________________ |
| 2 ________________________ | |
| Transport Related Revenue | 3 ________________________ |
| Total Operating Revenue | 4 ________________________ |
| Total Operating Expense | 5 ________________________ |
| Operating Profit or (Loss) | 6 ________________________ |
| Net Income or (Loss) | 7 ________________________ |
I, the undersigned, (Title)__________________________ of the above-named air carrier certify that the above report has been examined by me and to the best of my knowledge and belief is a true, correct and complete report for the period stated.
Date _____________________
Signature: _____________________
Name (Please Type or Print) _____________________
BTS Form 291-A