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pdfAttachment D-1
2007 Economic Census
Information; Professional, Scientific, and Technical Services; Management of
Companies and Enterprises; Administrative and Support and Waste Management
and Remediation Services; Educational Services; Health Care and Social
Assistance; Arts, Entertainment, and Recreation; and Other Services (Except Public
Administration) Sectors
Prototype Standard Taxable Form
R
EA
S
BU
US
CE
ER
U.S.
D
M
EP
ENT OF C
TM
OM
AR
U O
F TH E C
EN
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
2007 ECONOMIC CENSUS
Legal Services
FORM
PS-54101
OMB No. : Approval Expires
(DRAFT)
DUE DATE
FEBRUARY 12, 2008
PS-54101
Mail your completed form to:
U.S. CENSUS BUREAU
1201 East 10th Street
Jeffersonville, IN 47134-0001
Please read the accompanying
information sheet(s) before
answering the questions.
TAXABLE PROTOTYPE
Need help or have questions
about filling out this form?
Visit our Web site at
www.census.gov/econhelp
Call 1-800-233-6136, between
8:00 a.m. and 8:00 p.m., Eastern
time, Monday through Friday.
- OR Write to the address above.
Include your 11-digit Census File
Number (CFN) printed in the
mailing address.
(Please correct any errors in this mailing address.)
YOUR RESPONSE IS REQUIRED BY LAW. Title 13, United States Code, requires businesses and other organizations
that receive this questionnaire to answer the questions and return the report to the U.S. Census Bureau. By the same
law, YOUR CENSUS REPORT IS CONFIDENTIAL. It may be seen only by persons sworn to uphold the confidentiality
of Census Bureau information and may be used only for statistical purposes. Further, copies retained in respondents'
files are immune from legal process.
• Use blue or black ink.
• Do not use pencil.
• Place an "X" inside the box.
• Please center numbers in their respective boxes.
• Do not put slashes through 0 or 7.
Examples:
0 1 2 3 4 5 6 7 8 9
The reporting unit for this form is an establishment. An establishment is generally a single physical location
where business is conducted or where services or industrial operations are performed. For further clarification, see
information sheet(s).
EMPLOYER IDENTIFICATION NUMBER
Is the Employer Identification Number (EIN) shown in the mailing address the same as the one used for this
establishment on its latest 2007 Internal Revenue Service Form 941, Employer's Quarterly Federal Tax Return?
0021
2
Yes - Go to
2
No - Enter current EIN (9 digits)
0022
-
0025
PHYSICAL LOCATION
A. Is this establishment's physical location the same as shown in the mailing address?
(P.O. box and rural route addresses are not physical locations.)
0031
0032
Yes - Go to line B
No - Enter
physical
location
0035
Number and street
0036
City, town, village, etc.
0037
State
0038
ZIP Code
B. Is this establishment physically located inside the legal boundaries of the city, town, village, etc.?
(Mark "X" only ONE box.)
0041
Yes
0042
No
0043
No legal boundaries
0044
Do not know
C. In what type of municipality is this establishment physically located? (Mark "X" only ONE box.)
0229
City, village, or borough
PENALTY FOR FAILURE TO REPORT
USCENSUSBUREAU
0230
Town or township
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0231
Other
0232
Do not know
CONTINUE ON PAGE 2
54101019
1
Form PS-54101
3
Page 2
(DRAFT)
OPERATIONAL STATUS
Which ONE of the following best describes this establishment's operational status at the end of 2007?
(Mark "X" only ONE box.)
0011
In operation
0013
Temporarily or seasonally inactive
0014
Ceased operation - Give date at right
Month
Day
Year
0018
0015
Sold or leased to another operator - Give date at right AND enter
name and address of new owner or operator and Employer
Identification Number (EIN) below
0060
Name of new owner or operator
0061
EIN (9 digits)
0062
Mailing address (Number and street, P.O. Box, etc.)
0063
City, town, village, etc.
0064
State
0065
ZIP Code
4
Mark "X" 2007
if None Number
MONTHS IN OPERATION
Number of months in operation during 2007 (If none, mark "X" and go to
HOW TO
REPORT
DOLLAR
FIGURES
5
?
.) . . . . . . . . . . . .
Mark "X"
if None $ Bil.
Dollar figures should be rounded to
thousands of dollars.
If a figure is $1,025,628.79:
Report
If a value is "0" (or less than $500.00):
Report
2007
Mil.
Thou.
Dol.
1 0 2 6
SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Mark "X"
if None $ Bil.
Operating receipts (Legal aid societies should report total revenue, including
contributions, gifts, and grants.) . . . . . . . . . . . . . . . . . . . . . .
2007
Mil.
Thou.
Dol.
0100
Not Applicable.
54101027
6
0002
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CONTINUE ON PAGE 3
Form PS-54101
Page 3
(DRAFT)
If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
7
EMPLOYMENT AND PAYROLL
Include:
• Full- and part-time employees working at this establishment whose payroll was reported on Internal Revenue
Service Form 941, Employer's Quarterly Federal Tax Return, and filed under the Employer Identification Number
(EIN) shown in the mailing address or corrected in 1 .
Exclude:
• Temporary staffing obtained from a staffing service.
• Contractors, subcontractors, or independent contractors.
• Full- or part-time leased employees whose payroll was filed under an employee leasing company's EIN.
• Purchased or managed services, such as janitorial, guard, or landscape services.
• Professional or technical services purchased from another firm, such as software
consulting, computer programming, engineering, or accounting services.
2007
Number
Mark "X"
if None
For further clarification, see information sheet(s).
A. Number of employees for pay period including March 12 . . . . . . . . . . . . . .
0320
Mark "X"
if None $ Bil.
B. Payroll before deductions (Exclude employer's cost for fringe benefits.)
1. Annual payroll . . . . . . . . . . . . . . . . . . . . . . . . . .
0300
2. First quarter payroll (January-March, 2007). . . . . . . . . . . . . .
0310
2007
Mil.
Thou.
Dol.
8 – 18 Not Applicable.
19 KIND OF BUSINESS OR ACTIVITY
Principal kind of business or activity in 2007
(Mark "X" only ONE box.)
Offices of lawyers
0700
541 110 10 1
Law partnership or professional corporation/association, or individual lawyer or attorney
engaged in private practice
541 110 20 1
Legal aid societies and similar legal services
541 191 00 1
Title abstract or settlement offices
541 199 00 1
Patent agent services
541 199 00 2
Notary public services
541 199 00 3
Paralegal services
523 991 00 5
Trustee in bankruptcy
54101035
All other legal services
Other kind of business or activitiy
773 000 00 1
Other kind of business or activity - Specify
0701
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CONTINUE ON PAGE 4
Form PS-54101
Page 4
(DRAFT)
20 CLASS OF CUSTOMER
Estimate the percentage of receipts (reported in
5
2007
) by class of customer.
Whole percent
of receipts
%
1. Business firms and farms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3108
2. Not for profit organizations (Include churches) . . . . . . . . . . . . . . . . . . . . . . . . .
0000
3. Federal government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3105
4. State and local governments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3106
5. Individuals (Include receipts from individually owned businesses on line 1.) . . . . . . . . . . .
3100
%
%
%
%
6. TOTAL (Sum lines 1 through 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 0 0 %
21 SUPPORT SERVICES
Was this establishment primarily engaged in providing management, administrative, or support services to other
establishments of the same company (rather than for the general public or other business firms) in 2007?
0998
Yes
0999
No
2007
Estimates are acceptable.
Report dollars OR percents.
HOW TO
REPORT
PERCENTS
$ Bil.
If figure is 38.76% of
total sales:
Mil.
Thou.
Dol.
Percent
3 9
Report whole percents
22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE
(Report sales for each merchandise line sold by this establishment, either as a dollar figure or as a whole percent of
total sales (reported in 5 ). See HOW TO REPORT DOLLAR FIGURES on page 2 and HOW TO REPORT PERCENTS
above.)
Legal aid societies should not report this item.
Line 1a, 1b, 1c and 1d - Include on the appropriate line all receipts from the practice of law, including reimbursement
of expenses incurred for clients.
CONTINUE WITH
22
54101043
Line 2 - Individual lawyers who are organized as professional service corporations/associations and who are members
of law partnerships should report distributions from these partnerships on this line. Fees for legal services provided
directly to clients should be reported on the appropriate line.
ON PAGE 5
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CONTINUE ON PAGE 5
Form PS-54101
Page 5
(DRAFT)
If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE - Continued
Line 3 - Include receipts from legal related services but not from the practice of law.
Line 4 - Include commissions for the management or sale of real estate, insurance, etc.
2007
Census
use
Description of sales, shipments, receipts, or revenue
Estimates are acceptable.
Report dollars OR percents.
$ Bil.
0723
1.
0720
Mil.
Thou.
Dol.
0721
Percent
0722
Receipts, fees, or revenue from the practice of law by class of client
a. Individuals, including estates
2.
3.
(1)
Fees received from real estate settlement services
(2)
All other fees received
(3)
. . . . . . . .
34001
. . . . . . . . . . . . . . . . . . . . . . . . .
34002
Sum lines 1a(1) and 1a(2) . . . . . . . . . . . . . . . . . . . . . .
34000
b. Trade, farming, industrial, transportation, financial, and other
business firms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34010
c. Government -Federal, State, and local, including public authorities
.
34020
d. Other, including nonprofit organizations, foreign governments, etc. .
34030
Distributions from law partnerships to professional corporations/
associations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34040
Other legal services - Specify
34050
4.
All other operating receipts - Specify if more than 10 percent of total
receipts or revenue
39538
5.
TOTAL OPERATING RECEIPTS - Sum of lines should equal 5 if
reporting in dollars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 0 0
39690
25 EXPORTED SERVICES
NOTE - An exported service is a product(e.g., service performed, license agreement) that is performed for, or sold or
transferred to, a customer or client (individual, government, business establishment, etc.) located outside the United
States (i.e., outside the 50 States, District of Columbia, U.S. Commonwealth Territories, or U.S. possessions). Products
provided to unaffiliated and affiliated foreign firms (e.g., foreign parent firms, subsidiaries, branches, etc.) are included.
Products provided to domestic subsidiaries of foreign firms are excluded.
A. Did the receipts or revenue (reported in
0911
Yes - Go to line B
0912
No - Go to 26
5
) include any amounts for exported services?
2007
$ Bil.
B. Amount of receipts or revenue for exported services . . . . . . . . . . . . .
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Mil.
Thou.
Dol.
0914
CONTINUE ON PAGE 6
54101050
23 – 24 Not Applicable.
Form PS-54101
Page 6
(DRAFT)
26 SPECIAL INQUIRIES
A. PERSONNEL BY OCCUPATION
Enter employment reported on IRS Form 941, Employer's Quarterly Federal Tax Return, by
occupation. The total should equal the number reported in 7 , line A.
Enter personnel who perform a variety of functions (secretaries, etc.) on the one line which
best describes the primary nature of their work.
Line 1 - Lawyers who are members of a professional service corporation should be included here. The proprietor or
partners not considered employees of the firm for federal tax purposes should be included in part C, PROPRIETORS
AND PARTNERS OF UNINCORPORATED BUSINESS.
2007
Census
use
Occupation
1.
Associate lawyers (employees of firm) . . . . . . . . . . . . . . . . . . . . . . . .
3231
2.
Paraprofessionals (law clerks, legal assistants, investigators, etc.) . . . . . . . . . . .
3232
3.
Managers and other nonlegal professional staff . . . . . . . . . . . . . . . . . . . .
3233
4.
All other (stenographers, bookkeepers, etc.). . . . . . . . . . . . . . . . . . . . . .
3234
5.
TOTAL (Sum of lines 1 through 4 should equal
3200
7
, line A. . . . . . . . . . . . . . . .
Number of employees
for pay period
including March 12,
2007
B. PROPRIETORS AND PARTNERS OF UNINCORPORATED BUSINESSES
Unincorporated businesses should report each proprietor or partner not considered employees for federal tax
purposes at this location. For businesses operating at more than one location, report the proprietor or partners at the
location where they spend most of their working time.
2007
Mark "X" Number for the pay
if None
period including
March 12
Active proprietor or partners at this location . . . . . . . . . . . . . . . . . . .
3260
C. EXPENSES OF LEGAL AID SOCIETIES
Total operating expenses, including payroll, rent, depreciation, taxes, and other
overhead:
(Exclude capital expenditures, funds invested, and losses from the sale of assets.) . . .
$ Mil.
2007
Thou.
Dol.
3520
D. FRANCHISE
Was this establishment operating under a trademark authorized by a franchisor in 2007? (Mark "X" only ONE box.)
Yes - franchisee owned establishment
0238
Yes - franchisor owned establishment
0239
No
54101068
0237
27 – 29 Not Applicable.
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CONTINUE ON PAGE 7
Form PS-54101
Page 7
(DRAFT)
If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
REMARKS (Please use this space for any explanations that may be essential in understanding your reported data.)
30 CERTIFICATION - This report is substantially accurate and was prepared in accordance with the instructions.
Yes
No - Enter time period covered
Month
Name of person to contact regarding this report
Area code
Telephone
Year
Month
FROM
Year
TO
54101076
Is the time period covered by this report a calendar year?
Title
Number
Extension
Area code
Number
Fax
-
Internet e-mail address
Date
completed
Month
Day
Thank you for completing your 2007 ECONOMIC CENSUS form.
PLEASE PHOTOCOPY THIS FORM FOR YOUR RECORDS AND RETURN THE ORIGINAL.
Produced by GIDS AutoFormatter v4.46,
on 31-May-2006 at 04:43 PM
Year
File Type | application/pdf |
File Title | parke343.sfo |
Author | parke343 |
File Modified | 2006-06-20 |
File Created | 2006-05-31 |