various Ownership or Control Fliers

2007 Economic Census Covering Services Sectors (see abstract for complete list of sectors)

Attach D-13

Forms & Instructions

OMB: 0607-0934

Document [pdf]
Download: pdf | pdf
Attachment D-13
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

Ownership or Control Fliers

STANDARD
NC-99510

FORM
(DRAFT)

OMB No. : Approval Expires
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

OWNERSHIP OR CONTROL

If not shown, please enter
your 11-digit Census File
Number (CFN) from the
mailing address.

A. Is your company owned or controlled by another domestic company
OR
does your company operate at more than one physical location?

1:45 pm, Apr 24, 2006

Yes - Complete lines B and C and return this form with your completed 2007 Economic Census form.
No - Discard this form (NC-99510) and return your completed 2007 Economic Census form.
B. Ownership or control
1. Does another domestic company own more than 50 percent of the voting stock of your company or have the power
to control the management and policies of your company?
Yes - Enter the following information on the owning or controlling company
Name of owning or controlling company

Enter Employer Identification
Number (EIN) of owning or
controlling company (9 digits)

No - Go to line C

-

Home office address (Number and street)

City, town, village, etc.

State

ZIP Code

2. What percent of voting stock was held by owning or controlling company? (Mark "X" only ONE box.)
Less than 50%

50%

More than 50%
2007
Number

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address
or as corrected in 1 on the first page of the 2007 Economic Census form . . . . . . . . . . . . . .
If more than one establishment:

99510018

• Provide the physical location address and other information requested on the back of this form for each location.
• Provide the headquarters location first, followed by all other locations.
• Data for establishments operated during 2007, but not in operation at the end of the year, should be included with the
headquarters location.
• The sum of all sales, shipments, receipts, or revenue and employment and payroll for all locations should equal the
amounts reported in 5 and 7 of the 2007 Economic Census form.
• For employees that worked at more than one location, report the employment and payroll data for the employees at
the ONE location where they spent most of their working time.

USCENSUSBUREAU

Produced by GIDS AutoFormatter v4.46,
on 24-Apr-2006 at 01:44 PM

CONTINUE ON PAGE 2

STANDARD

Form NC-99510

Page 2

(DRAFT)

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address or as corrected in
on the first page of the 2007 Economic Census form - Continued

1

BEFORE YOU BEGIN: If this EIN had more than 3 physical locations at the end of 2007, copy this page and provide the
requested data for all of your locations.
Name

2007
Estimates are acceptable
$ Bil.

Secondary name

Thou.

2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

1 City, town, village, etc.

$ Bil.
State

Mil.

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.

Secondary name

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .
2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

2 City, town, village, etc.

$ Bil.
State

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.
Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .
2007
Estimates are acceptable

Physical location (Number and street)

Number
Number of employees for pay
period including March 12 . . . .

3 City, town, village, etc.

$ Bil.
State

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Produced by GIDS AutoFormatter v4.46,
on 24-Apr-2006 at 01:44 PM

Mil.

Thou.

99510026

Secondary name

PS-54103, PS-54105, PS-54112, PS-54113

OMB No. : Approval Expires

NC-99554

FORM
(DRAFT)

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

OWNERSHIP OR CONTROL

If not shown, please enter
your 11-digit Census File
Number (CFN) from the
mailing address.

A. Is your company owned or controlled by another domestic company
OR
does your company operate at more than one physical location?

8:28 am, Apr 28, 2006

Yes - Complete lines B and C and return this form with your completed 2007 Economic Census form.
No - Discard this form (NC-99554) and return your completed 2007 Economic Census form.
B. Ownership or control
1. Does another domestic company own more than 50 percent of the voting stock of your company or have the power
to control the management and policies of your company?
Yes - Enter the following information on the owning or controlling company
Name of owning or controlling company

Enter Employer Identification
Number (EIN) of owning or
controlling company (9 digits)

No - Go to line C

-

Home office address (Number and street)

City, town, village, etc.

State

ZIP Code

2. What percent of voting stock was held by owning or controlling company? (Mark "X" only ONE box.)
Less than 50%

50%

More than 50%
2007
Number

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address
or as corrected in 1 on the first page of the 2007 Economic Census form . . . . . . . . . . . . . .
If more than one establishment:

99554016

• Provide the physical location address and other information requested on the back of this form for each location.
• Provide the headquarters location first, followed by all other locations.
• Temporary branch or field offices should not be considered separate locations. Data for such sites should be included
with the controlling headquarters or branch location.
• Data for establishments operated during 2007, but not in operation at the end of the year, should be included with the
headquarters location.
• The sum of all sales, shipments, receipts, or revenue and employment and payroll for all locations should equal the
amounts reported in 5 and 7 of the 2007 Economic Census form.
• For employees that worked at more than one location, report the employment and payroll data for the employees at
the ONE location where they spent most of their working time.

USCENSUSBUREAU

Produced by GIDS AutoFormatter v4.46,
on 28-Apr-2006 at 08:27 AM

CONTINUE ON PAGE 2

PS-54103, PS-54105, PS-54112, PS-54113

Form NC-99554

Page 2

(DRAFT)

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address or as corrected in
on the first page of the 2007 Economic Census form - Continued

1

BEFORE YOU BEGIN: If this EIN had more than 3 physical locations at the end of 2007, copy this page and provide the
requested data for all of your locations.
Name

2007
Estimates are acceptable
$ Bil.

Secondary name

Thou.

2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

1 City, town, village, etc.

$ Bil.
State

Mil.

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.

Secondary name

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .
2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

2 City, town, village, etc.

$ Bil.
State

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.
Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .
2007
Estimates are acceptable

Physical location (Number and street)

Number
Number of employees for pay
period including March 12 . . . .

3 City, town, village, etc.

$ Bil.
State

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Produced by GIDS AutoFormatter v4.46,
on 28-Apr-2006 at 08:27 AM

Mil.

Thou.

99554024

Secondary name

PS-54101
NC-99557

FORM
(DRAFT)

OMB No. : Approval Expires
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

OWNERSHIP OR CONTROL

If not shown, please enter
your 11-digit Census File
Number (CFN) from the
mailing address.

A. Is your company owned or controlled by another domestic company
OR
does your company operate at more than one physical location?

8:41 am, Apr 28, 2006

Yes - Complete lines B and C and return this form with your completed 2007 Economic Census form.
No - Discard this form (NC-99557) and return your completed 2007 Economic Census form.
B. Ownership or control
1. Does another domestic company own more than 50 percent of the voting stock of your company or have the power
to control the management and policies of your company?
Yes - Enter the following information on the owning or controlling company
Name of owning or controlling company

Enter Employer Identification
Number (EIN) of owning or
controlling company (9 digits)

No - Go to line C

-

Home office address (Number and street)

City, town, village, etc.

State

ZIP Code

2. What percent of voting stock was held by owning or controlling company? (Mark "X" only ONE box.)
Less than 50%

50%

More than 50%
2007
Number

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address
or as corrected in 1 on the first page of the 2007 Economic Census form . . . . . . . . . . . . . .
If more than one establishment:

99557019

• Provide the physical location address and other information requested on the back of this form for each location.
• Provide the headquarters location first, followed by all other locations.
• Temporary or special purpose offices of law firms should not be considered separate establishments for purpose of
this report. Data for such locations should be included with the controlling headquarters or branch location.
• Data for establishments operated during 2007, but not in operation at the end of the year, should be included with the
headquarters location.
• The sum of all sales, shipments, receipts, or revenue and employment and payroll for all locations should equal the
amounts reported in 5 and 7 of the 2007 Economic Census form.
• For employees that worked at more than one location, report the employment and payroll data for the employees at
the ONE location where they spent most of their working time.
• Legal aid societies should report total revenue, including contributions, gifts, and grants, in the space provided for
"Sales, shipments, receipts, or revenue."

USCENSUSBUREAU

Produced by GIDS AutoFormatter v4.46,
on 28-Apr-2006 at 08:40 AM

CONTINUE ON PAGE 2

PS-54101

Form NC-99557

Page 2

(DRAFT)

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address or as corrected in
on the first page of the 2007 Economic Census form - Continued

1

BEFORE YOU BEGIN: If this EIN had more than 3 physical locations at the end of 2007, copy this page and provide the
requested data for all of your locations.
Name

2007
Estimates are acceptable
$ Bil.

Secondary name

Thou.

2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

1 City, town, village, etc.

$ Bil.
State

Mil.

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.

Secondary name

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .
2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

2 City, town, village, etc.

$ Bil.
State

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.
Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .
2007
Estimates are acceptable

Physical location (Number and street)

Number
Number of employees for pay
period including March 12 . . . .

3 City, town, village, etc.

$ Bil.
State

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Produced by GIDS AutoFormatter v4.46,
on 28-Apr-2006 at 08:40 AM

Mil.

Thou.

99557027

Secondary name

HC-62104, HC-62105
NC-99562

FORM
(DRAFT)

OMB No. : Approval Expires

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

OWNERSHIP OR CONTROL

If not shown, please enter
your 11-digit Census File
Number (CFN) from the
mailing address.

A. Is your company owned or controlled by another domestic company
OR
does your company operate at more than one physical location?

8:57 am, Apr 28, 2006

Yes - Complete lines B and C and return this form with your completed 2007 Economic Census form.
No - Discard this form (NC-99562) and return your completed 2007 Economic Census form.
B. Ownership or control
1. Does another domestic company own more than 50 percent of the voting stock of your company or have the power
to control the management and policies of your company?
Yes - Enter the following information on the owning or controlling company
Name of owning or controlling company

Enter Employer Identification
Number (EIN) of owning or
controlling company (9 digits)

No - Go to line C

-

Home office address (Number and street)

City, town, village, etc.

State

ZIP Code

2. What percent of voting stock was held by owning or controlling company? (Mark "X" only ONE box.)
Less than 50%

50%

More than 50%
2007
Number

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address
or as corrected in 1 on the first page of the 2007 Economic Census form . . . . . . . . . . . . . .
If more than one establishment:

99562019

• Provide the physical location address and other information requested on the back of this form for each location.
• Provide the headquarters location first, followed by all other locations.
• Offices which are not staffed on a full-time basis by at least one employee covered by this EIN should not be
considered separate establishments. Include data for these offices with data reported for the headquarters location.
Practitioners whose main practice is outside the hospital (clinic), but whose practice necessitates using hospital
facilities, should not consider the hospital (clinic) as a separate location (e.g., a surgeon with a private practice
who utilizes hospital facilities). Practitioners who practice solely from hospitals or other medical facilities (e.g.,
anesthesiologists, physical therapists) should not consider these facilities as separate office locations.
• Data for establishments operated during 2007, but not in operation at the end of the year, should be included with the
headquarters location.
• The sum of all sales, shipments, receipts, or revenue and employment and payroll for all locations should equal the
amounts reported in 5 and 7 of the 2007 Economic Census form.
• For employees that worked at more than one location, report the employment and payroll data for the employees at
the ONE location where they spent most of their working time.

USCENSUSBUREAU

Produced by GIDS AutoFormatter v4.46,
on 28-Apr-2006 at 08:56 AM

CONTINUE ON PAGE 2

HC-62104, HC-62105

Form NC-99562

Page 2

(DRAFT)

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address or as corrected in
on the first page of the 2007 Economic Census form - Continued

1

BEFORE YOU BEGIN: If this EIN had more than 3 physical locations at the end of 2007, copy this page and provide the
requested data for all of your locations.
Name

2007
Estimates are acceptable
$ Bil.

Secondary name

Thou.

2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

1 City, town, village, etc.

$ Bil.
State

Mil.

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.

Secondary name

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .
2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

2 City, town, village, etc.

$ Bil.
State

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.
Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .
2007
Estimates are acceptable

Physical location (Number and street)

Number
Number of employees for pay
period including March 12 . . . .

3 City, town, village, etc.

$ Bil.
State

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Produced by GIDS AutoFormatter v4.46,
on 28-Apr-2006 at 08:56 AM

Mil.

Thou.

99562027

Secondary name

PS-54102
NC-99563

FORM
(DRAFT)

OMB No. : Approval Expires
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

OWNERSHIP OR CONTROL

If not shown, please enter
your 11-digit Census File
Number (CFN) from the
mailing address.

A. Is your company owned or controlled by another domestic company
OR
does your company operate at more than one physical location?

8:50 am, Apr 28, 2006

Yes - Complete lines B and C and return this form with your completed 2007 Economic Census form.
No - Discard this form (NC-99563) and return your completed 2007 Economic Census form.
B. Ownership or control
1. Does another domestic company own more than 50 percent of the voting stock of your company or have the power
to control the management and policies of your company?
Yes - Enter the following information on the owning or controlling company
Name of owning or controlling company

Enter Employer Identification
Number (EIN) of owning or
controlling company (9 digits)

No - Go to line C

-

Home office address (Number and street)

City, town, village, etc.

State

ZIP Code

2. What percent of voting stock was held by owning or controlling company? (Mark "X" only ONE box.)
Less than 50%

50%

More than 50%
2007
Number

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address
or as corrected in 1 on the first page of the 2007 Economic Census form . . . . . . . . . . . . . .
If more than one establishment:

99563017

• Provide the physical location address and other information requested on the back of this form for each location.
• Provide the headquarters location first, followed by all other locations.
• Temporary or special purpose offices of accounting, auditing, and bookkeeping services should not be considered
separate locations for purpose of this report. Data for such locations should be included with the controlling
headquarters or branch location.
• Data for establishments operated during 2007, but not in operation at the end of the year, should be included with the
headquarters location.
• The sum of all sales, shipments, receipts, or revenue and employment and payroll for all locations should equal the
amounts reported in 5 and 7 of the 2007 Economic Census form.
• For employees that worked at more than one location, report the employment and payroll data for the employees at
the ONE location where they spent most of their working time.

USCENSUSBUREAU

Produced by GIDS AutoFormatter v4.46,
on 28-Apr-2006 at 08:49 AM

CONTINUE ON PAGE 2

PS-54102

Form NC-99563

Page 2

(DRAFT)

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address or as corrected in
on the first page of the 2007 Economic Census form - Continued

1

BEFORE YOU BEGIN: If this EIN had more than 3 physical locations at the end of 2007, copy this page and provide the
requested data for all of your locations.
Name

2007
Estimates are acceptable
$ Bil.

Secondary name

Thou.

2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

1 City, town, village, etc.

$ Bil.
State

Mil.

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.

Secondary name

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .
2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

2 City, town, village, etc.

$ Bil.
State

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.

Secondary name

2007
Estimates are acceptable

Physical location (Number and street)

Number
Number of employees for pay
period including March 12 . . . .

3 City, town, village, etc.

$ Bil.
State

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Produced by GIDS AutoFormatter v4.46,
on 28-Apr-2006 at 08:49 AM

Mil.

Thou.

99563025

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .

OS-81203
NC-99581

FORM
(DRAFT)

OMB No. : Approval Expires
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

OWNERSHIP OR CONTROL

If not shown, please enter
your 11-digit Census File
Number (CFN) from the
mailing address.

A. Is your company owned or controlled by another domestic company
OR
does your company operate at more than one physical location?

9:23 am, Apr 28, 2006

Yes - Complete lines B and C and return this form with your completed 2007 Economic Census form.
No - Discard this form (NC-99581) and return your completed 2007 Economic Census form.
B. Ownership or control
1. Does another domestic company own more than 50 percent of the voting stock of your company or have the power
to control the management and policies of your company?
Yes - Enter the following information on the owning or controlling company
Name of owning or controlling company

Enter Employer Identification
Number (EIN) of owning or
controlling company (9 digits)

No - Go to line C

-

Home office address (Number and street)

City, town, village, etc.

State

ZIP Code

2. What percent of voting stock was held by owning or controlling company? (Mark "X" only ONE box.)
Less than 50%

50%

More than 50%
2007
Number

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address
or as corrected in 1 on the first page of the 2007 Economic Census form . . . . . . . . . . . . . .
If more than one establishment:

99581019

• Provide the physical location address and other information requested on the back of this form for each location.
• Provide the headquarters location first, followed by all other locations.
• Do not consider branch locations of laundries and drycleaners (including industrial, linen, and diaper supply) that are
only providing pick-up and distribution of finished work as separate establishments. Data for these locations should
be included with the plant in which the work is actually done.
• Data for establishments operated during 2007, but not in operation at the end of the year, should be included with the
headquarters location.
• The sum of all sales, shipments, receipts, or revenue and employment and payroll for all locations should equal the
amounts reported in 5 and 7 of the 2007 Economic Census form.
• For employees that worked at more than one location, report the employment and payroll data for the employees at
the ONE location where they spent most of their working time.

USCENSUSBUREAU

Produced by GIDS AutoFormatter v4.46,
on 28-Apr-2006 at 09:22 AM

CONTINUE ON PAGE 2

OS-81203

Form NC-99581

Page 2

(DRAFT)

C. Number of establishments operated at the end of 2007 under the EIN shown in the mailing address or as corrected in
on the first page of the 2007 Economic Census form - Continued

1

BEFORE YOU BEGIN: If this EIN had more than 3 physical locations at the end of 2007, copy this page and provide the
requested data for all of your locations.
Name

2007
Estimates are acceptable
$ Bil.

Secondary name

Thou.

2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

1 City, town, village, etc.

$ Bil.
State

Mil.

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.

Secondary name

Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .
2007
Estimates are acceptable
Number

Physical location (Number and street)
Number of employees for pay
period including March 12 . . . .

2 City, town, village, etc.

$ Bil.

Mil.

Thou.

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

State ZIP Code
-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Name

2007
Estimates are acceptable
$ Bil.
Mil.
Thou.
Store or plant No. Sales, shipments, receipts, or
revenue . . . . . . . . . . . .
2007
Estimates are acceptable

Physical location (Number and street)

Number
Number of employees for pay
period including March 12 . . . .

3 City, town, village, etc.

$ Bil.
State

First quarter payroll (JanuaryMarch 2007) . . . . . . . . . .

ZIP Code

-

Annual payroll . . . . . . . . .

Describe kind of business at this location

Produced by GIDS AutoFormatter v4.46,
on 28-Apr-2006 at 09:22 AM

Mil.

Thou.

99581027

Secondary name


File Typeapplication/pdf
File TitleMicrosoft Word - Attach D-13 titlepage.doc
Authorbaker011
File Modified2006-06-29
File Created2006-06-29

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