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pdfOMB Control # 0648-0591
Expires 08/31/2012
2011 Annual Economic Survey of Federal Gulf and South Atlantic Shrimp Permit Holders
Permit owner name: «PrimaryMailingRecipient»
Survey #: «SurveyNum»
Vessel name:
Vessel ID: «VESID»
«VesselName»
Even if this vessel was inactive in 2011 please complete this survey (especially Q7 - Q10, and Page 2).
Enter “0” if you did not have any expenses in a category. Do not leave blank!
Total 2011 Expenses:
• On this page we would like you to enter the total financial expenses (actual dollar payments) you
incurred during 2011 for the operation and keeping of the vessel listed above.
• For each question enter the sum of all 2011 expenses.
• Please consult the detailed instructions if you are unsure about any question.
1. Is the owner also the captain of this vessel?
Yes
No
2. If owner is captain, is the owner paid a captain’s share?
Yes
No
N/A
If Yes, total amount of captain’s share:
3. Total amount paid to HIRED crew and captain(s) of this vessel:
$ _ , _ _ _ , _ _ _ .00
$ _ , _ _ _ , _ _ _ .00
(Not to Owner! For example: from IRS Form(s) 1099-MISC or equivalent)
4. Total amount paid for fuel used by this vessel in 2011:
5. a) Estimated average price of fuel in 2011: $ _ . _ _
$ _ , _ _ _ , _ _ _ .00
per gallon
b) Total amount of fuel purchased: _ _ _ , _ _ _ , _ _ _ gallons
6. Total amount paid for all trip related supplies or expenses (other than fuel): $ _ , _ _ _ , _ _ _ .00
(For example: ice, groceries, oil and lubricants, freezing, packaging, and cleaning supplies)
7. a) Total amount paid for any vessel maintenance, repair, replacement,
new purchase or upgrade (including engine, gear, electronics, etc.):
b) The answer to Question 7 a) includes (check all that apply):
Maintenance or regular repairs
Major repairs or haul-out
$ _ , _ _ _ , _ _ _ .00
New purchase or upgrade
8. Total amount paid for vessel insurance in 2011 (insurance premium):
$ _ , _ _ _ , _ _ _ .00
9. Total payments made for loans on the vessel in 2011:
$ _ , _ _ _ , _ _ _ .00
10. Overhead applicable to this vessel; such as dockage, licenses,
(share of) rent, utilities, professional services, truck expenses, etc.:
$ _ , _ _ _ , _ _ _ .00
Please Exclude: loan payments, insurance payments, depreciation, and income taxes.
11. Total 2011 Expenses (the above entries should sum to this value):
Page 1 of 2
$ _ _ , _ _ _ , _ _ _ .00
Other Important Economic Information (Survey #: «SurveyNum»):
12. Vessel insurance in 2011 (check all that apply):
None
Hull
P&I
If Hull insured, enter coverage level if vessel is lost: $ _ _ , _ _ _ , _ _ _ .00
(do not enter monthly or annual insurance premium here, instead Æ Question 8)
13. Appraised value of this vessel (if insured) or best estimate of this value (if not insured):
a) Market value of vessel including permits (anytime in 2011): $ _ _ , _ _ _ , _ _ _ .00
b) Market value of vessel without permits (anytime in 2011):
$ _ _ , _ _ _ , _ _ _ .00
c) Original purchase price of vessel:
$ _ _ , _ _ _ , _ _ _ .00
(estimate original value if gift or self-built)
14. Did you have any loan(s) on your vessel at any time during 2011:
If Yes:
a) Total amount you still owe at end of 2011:
Yes
No
$ _ _ , _ _ _ , _ _ _ .00
b) Please split total loan payments in 2011 (Question 9) into:
i) Interest paid in 2011:
$ _ _ , _ _ _ , _ _ _ .00
ii) Principal repaid in 2011:
15. Depreciation of vessel as claimed for tax purposes (2011):
$ _ _ , _ _ _ , _ _ _ .00
$ _ _ , _ _ _ , _ _ _ .00
17. Total BP Oil Spill-related gross revenue received by this vessel in 2011:$ _ _ , _ _ _ , _ _ _ .00
18. Total gross revenue received by this vessel in 2011 from
a. commercial fishing other than shrimp AND
b. non-fishing income activities other than BP Oil Spill-related:
$ _ _ , _ _ _ , _ _ _ .00
19. Government payments received for this vessel in 2011; for example
due to imports and low shrimp prices (tariff money; trade assistance
adjustment payments) or hurricanes/disaster relief:
$ _ _ , _ _ _ , _ _ _ .00
I certify that the information contained on this form is accurate and complete to the best of my
knowledge:
_____________________________________
________________
Signature of person completing report
Date
_____________________________________
(_____)_______________
Printed name of person signing report
Phone number
Thank You! Please return this completed form in the enclosed prepaid envelope!
[Mail to: NMFS; Miami Lab; P.O. Box 491500; Key Biscayne, FL 33149]
Other Questions (voluntary)
1. Would you like to receive the results (2011 fact sheet) when they become available?
Yes
No
2. Please use the reverse side or a separate piece of paper for any comments. We appreciate all comments.
Page 2 of 2
( if none enter “0” )
16. During 2011 this vessel received revenue from (check all that apply):
Shrimp Fishery
Other Commercial Fisheries
BP Oil Spill-related (any)
Other Non-Fishing Income Activities
Government
None / Not Active
OMB Control # 0648-0591
Expires 08/31/2012
Detailed Instructions
Please check that your information at the top of Page 1 is correct. If not, please clearly print the correct
information in the white space.
Page 1 – Total 2011 Expenses
On Page 1 we would like you to enter the total financial expenses you incurred during 2011 for the
operation and keeping of your vessel with the registration number listed at the top of the page. This
should correspond to actual dollar payments made. For each question enter the sum of all 2011
expenses in that category. If you had NO expenses in a category, please enter “0” and do not leave
any spaces blank.
Please be comprehensive: Account for all the expenses incurred by this boat in 2011 on Page 1.
Please avoid double counting: Any expense should appear only a single time on Page 1.
If an expense benefits this vessel as well as other vessel(s) and/or business operations (such as
processing), only list the share of the expense that can be assigned to this vessel.
Feel free to round numbers to the nearest $100, such as entering $ 3,600.00 rather than $ 3,643.00.
Question 1: Check the YES box, if you (the owner) also act as captain for this vessel (always or
most of the time). Check the NO box if you hired captain(s) to operate this vessel.
Question 2: If you checked NO on Question 1, check the N/A (not applicable) box. Check the YES
box, if you separately account for your income as captain (as opposed to as owner, i.e. business
profit). If you checked Yes, enter the total amount you paid yourself on the following line. If you do
not pay yourself a captain’s share, simply check the No box and continue with Question 3.
Question 3: Enter the sum of all hired crew and captains’ shares paid during 2011. This should
reflect the amount the crew and captain(s) actually received, including any bonuses, but excluding any
contributions she/he made to cover operating costs. DO NOT include amounts paid to the owner!
Question 4: Enter the total amount spent on fuel in 2011. The total amount should reflect the actual
amount paid for the fuel used by this vessel, including those portions “paid” out of the crew’s or
captain’s shares.
Question 5: a) Please estimate, as best you can, the average price per gallon you paid for fuel in
2011 (in dollars and cents per gallon).
b) Enter the total number of gallons of fuel you purchased in 2011 in order to operate
this vessel and all its equipment (such as generators and freezers). If this number is not available, then
divide the amount entered in Question 4 by the estimated price per gallon entered in a) and enter this
amount in the space provided.
Question 6: Enter the sum of all remaining expenses incurred on a ‘per fishing trip’ basis in 2011.
This should exclude all amounts already listed in the above questions, i.e. amounts paid to crew,
captain or fuel. Please sum all your expenses for: ice, groceries, oil and lubricants, freezing and
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OMB Control # 0648-0591
Expires 08/31/2012
packaging supplies, gloves, processing, storage, cleaning supplies or services, and any other trip
related expense.
Question 7: a) Enter the total 2011 expenses, not already listed above, related to the vessel (hull
and all) and associated equipment, such as fishing gear (nets, trawl doors, etc.), engine(s), freezers and
electronics. Include all expenses for maintenance, repair, replacement, upgrades and new purchases.
Also include haul-outs, rebuilds, retrofits, etc.
b) This question asks about the type of expenses that are included in Question 7. a).
Please check all the boxes that apply. Check the first box if some or all the expenses listed in 7.a) were
for normal maintenance or regular repairs and repeated replacements (such as worn out nets). Check
“Major repairs or haul-out” if you incurred expenses in 2011 that occur less than annually, include
haul-outs, repairs during haul-outs, and other major repairs or replacement; or unusual expenses
resulting from unexpected events such as hurricanes, accidents or theft. Check “New purchase or
upgrade” if you spent money on the vessel that extends its functionality, such as increases in engine
power, new electronic systems, increases or improvements to fishing gear, etc.
Question 8: Enter the total amount paid for vessel insurance in 2011 (insurance premium). Enter the
total amount, not just the monthly insurance premium.
Question 9: If you had a loan in 2011, enter the total amount of your total loan payments for this
vessel in 2011 (interest and principal for the full year).
Question 10: Enter the total amount of overhead applicable to this vessel. Typical overhead expenses
include: dockage/mooring, rent, utilities, commercial fishing licenses and permits, property taxes and
other fees, (share of) car or truck expenses, (share of) office expenses, (share of) accountant, lawyer,
other professional services fees, and any other annual expenditure paid by the vessel (not already
included in Questions 1 through 9). Very Important on Question 10:
Exclude: Loan Payments (interest and principal)
Insurance premiums for the vessel
Depreciation
Income Tax
If an overhead expense benefits this vessel AND other vessel(s) and/or business operations (such as
processing), then only list the share of the expense that can be assigned to this vessel.
Please make sure you have accounted for all expenses associated with the
End of Page 1:
operation and keeping of this vessel in 2011. If there are expenses not yet accounted for, please add
them to the category they fit best:
If they are trip-related, add them to Question 6.
If they relate to the vessel, gear and equipment, add them to Question 7.
If they fit in neither of the above categories, add them to Question 10 (overhead or business related
costs).
Question 11: Enter the total financial expenses you incurred during 2011 for the operation and
keeping of this vessel. This number should equal the sum of all dollar ($) expenses entered on Page 1.
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OMB Control # 0648-0591
Expires 08/31/2012
Page 2 – Other Important Economic Information
Question 12: Check the boxes for the type of insurance you had for vessel in 2011. Check all that
apply or “None” if your vessel was not insured. If the hull was insured, then enter the total amount
the hull was insured for, i.e. the maximum dollar amount the insurance would have paid in case of a
total loss of the vessel. Do not enter your monthly or yearly insurance premiums or payments (these
payments should have been included in Question 8)!
Question 13: a) and b) Enter the market value of your vessel in 2011. Please enter the most accurate
number you have. If the vessel is insured, please consult your insurance records for these values.
Otherwise, please give us your best estimate or guess. For market value including permit (a), please
enter the approximate amount you would expect to receive if you had sold your vessel and federal
Gulf/S. Atlantic shrimp permit(s) together during 2011. For market value without permit (b), please
enter the amount you would expect to receive if you had sold your vessel in 2011 without the federal
Gulf/S. Atlantic shrimp permit(s).
c) Enter your purchase price of the vessel. If the vessel was a gift or self-built please
estimate the approximate value at the time.
Question 14: Check YES if you had any outstanding loans on your vessel at any time during 2011.
If YES, enter:
a) The amount of principal you still owe at the end of 2011; and
b) Please split your total loan payments entered under Question 9 into:
i) the total sum of interest paid in 2011; and
ii) the total amount of principal repaid in 2011.
Please estimate if you do not have the exact numbers.
Question 15: Enter the amount of depreciation you claimed for your vessel on your 2011 tax return. If
you have not yet filed 2011 taxes, please provide an estimate or guess or use the previous year’s.
Question 16: Please indicate the sources of revenue received by your vessel in 2011. Please check all
the boxes that apply. Check “Shrimp Fishery” if this vessel caught shrimp anywhere for commercial
sale. Check “Other Commercial Fisheries” if your vessel participated in any commercial fisheries
other than shrimp. Check “BP Oil Spill-related (any)” if this vessel received revenue or payments
related to the BP Oil Spill. Examples include payments received by this vessel for participation in oil
clean-up or monitoring (such as from BP’s Vessels of Opportunity program), or compensation for
damages (from BP or the Gulf Coast Claims Facility). Check “Other Non-Fishing Income Activities”
if this vessel was used to generate income NOT related to commercial fishing or the BP Oil Spill. For
instance, charter work, oil industry work not related to the spill, etc. Check “Government” if this
vessel received payments from the federal, state or local government in 2011 (see Question 19 for
examples). Check “None / Not Active” if your vessel did not generate any revenue or income during
2011.
Question 17: Enter the total sum of all BP Oil Spill-related revenue and payments received by this
vessel in 2011. Include revenues from BP Oil Spill-related activities such as clean-up or monitoring
(such as from BP’s Vessels of Opportunity program), and compensation for damages (such as directly
from BP or from the Gulf Coast Claims Facility) related to this vessel in 2011.
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OMB Control # 0648-0591
Expires 08/31/2012
Question 18: Enter the total sum of all revenue received by this vessel in 2011 from activities
OTHER than shrimping and OTHER than BP Oil Spill related. Please include commercial, non-shrimp
fishing revenue generated in the Gulf of Mexico as well as the Atlantic Ocean and elsewhere, inclusive
of ALL state, federal or international waters. Please do not include any revenue generated by the
sale of shrimp regardless of where it is caught. Please also include any income from non-fishing
activities by this vessel such as lease payments (if the vessel is rented out), payments for work in the
oil industry (other than for BP Oil Spill work), etc.
Question 19: Enter the sum of all payments received by this vessel in 2011 from federal, state, and
local governments. This may include payments resulting from low shrimp prices and the dumping of
imports (for example, tariff monies received from U.S. Customs, trade assistance adjustment payments
received from the U.S. Department of Agriculture, “kickbacks,” incentives, etc.) and disaster relief
(monies received for hurricane recovery). Do not include any payments related to the BP Oil Spill
(include these under Question 17).
If you have any questions, please call Jordan Bender, Kait Birghenthal, or Christopher Liese
at (305) 361-4263.
PAPERWORK REDUCTION ACT STATEMENT:
Public reporting burden for this collection of information is estimated to average 45 minutes per response, including the
time for reviewing the instructions, searching the existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other
suggestions for reducing this burden to Christopher Liese, National Marine Fisheries Service, Southeast Fisheries Science
Center, 75 Virginia Beach Drive, Miami, Florida 33149. Information submitted will be treated as confidential in accordance
with NOAA Administrative Order 216-100. Notwithstanding any other provision of the law, no person is required to
respond to, nor shall any 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 displays a currently valid OMB Control Number. This
reporting is required for permit renewal. NMFS requires this information for the conservation and management of marine
fishery resources. These data will be used to evaluate the economic effects of proposed regulations in the fishery.
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File Type | application/pdf |
File Title | Microsoft Word - Instructions 2011_x |
Author | cliese |
File Modified | 2012-06-22 |
File Created | 2012-06-22 |