Download:
pdf |
pdfU.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
FORM
IA-98183
2007 ECONOMIC CENSUS
Northern Mariana Islands
OMB No. : Approval Expires
(DRAFT)
DUE DATE
FEBRUARY 12, 2008
IA-98183
Mail your completed form to:
U.S. CENSUS BUREAU
ATTENTION: Island Areas
1201 East 10th Street
Jeffersonville, IN 47134-0001
Please read the accompanying
information sheet(s) before
answering the questions.
Need help or have questions
about filling out this form?
Visit www.census.gov/econhelp
- 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.
• Please center numbers in their respective boxes. Examples:
• Do not use pencil.
• Do not put slashes through 0 or 7.
0 1 2 3 4 5 6 7 8 9
• Place an "X" inside the box.
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 or a permanent office, payroll office, or other
place where business activities related to construction are conducted. 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-SS, 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
Yes
0032
No - Enter physical
location
0035
Number and street or location description
0036
City, town, village, etc.
0037
State, other
0038
ZIP Code
-
B. Village where this establishment is physically located
0049
C. Island where this establishment is physically located
0033
PENALTY FOR FAILURE TO REPORT
USCENSUSBUREAU
CONTINUE ON PAGE 2
98183015
1
Form IA-98183
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
0014
Ceased operation - Give date at right
0015
0013
Temporarily or seasonally inactive
Month
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
Day
Year
0018
Name of new owner or operator
0061
EIN (9 digits)
0062
0063
Mailing address (Number and street, P.O. Box, etc.)
City, town, village, etc.
0064
State, other
0065
ZIP Code
0016
Mark "X" 2007
if None Number
MONTHS IN OPERATION
Number of months in operation during 2007 (If none, mark "X" and go to 30 .) . . . . . . . . . . . .
HOW TO
REPORT
DOLLAR
FIGURES
5
Mark "X"
if None
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
$ Mil.
SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Sales of merchandise, operating receipts, and/or revenue (Exclude sales taxes or
other taxes collected.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2007
Thou.
Dol.
1 0 2 6
Mark "X"
if None
6
0002
$ Mil.
2007
Thou.
Dol.
0100
E-COMMERCE SALES, SHIPMENTS, RECEIPTS, OR REVENUE
A. Were any of the sales, receipts, and/or revenue reported in 5 a result of e-commerce transactions? (Transactions are
agreements between buyers and sellers to transfer ownership of, or rights to use, goods or services. Payment for
these goods or services may or may not be made online. Please see the information sheet(s) for further clarification.)
E-commerce transactions include:
• Electronic Data Interchange (EDI)
• E-mail
• Internet
0181
Yes - Go to line B
0182
No - Go to
• Extranet
• Other online systems
2007
Whole percent
of sales and
receipts
7
B. Percent of total sales, receipts, and/or revenue reported in 5 that are a result of e-commerce
transactions. (Exclude sales taxes. Report whole percents. Estimates are acceptable.) . . . . . . .
0109
%
CONTINUE ON PAGE 3
98183023
4
0815
Other - Specify
Form IA-98183
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-SS, Employer's Quarterly Federal Tax Return, and filed under the
Employer Identification Number (EIN) shown in the mailing address or corrected in 1 .
• Non-residential employees working at this establishment, whether or not FICA taxes were withheld.
For further clarification, see information sheet(s).
Mark "X"
if None
A. Number of paid employees for pay period including March 12, 2007
1. For whom FICA taxes were withheld . . . . . . . . . . . . . . . . . . . . . .
0254
2. For whom FICA taxes were NOT withheld . . . . . . . . . . . . . . . . . . .
0274
3. TOTAL
0320
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mark "X"
if None
B. Payroll before deductions (Exclude employer's cost for fringe benefits.)
1. Annual payroll for 2007
. . . . . . . . . . . . . . . . . . . . . . . . .
0300
2. First quarter payroll (January-March, 2007) . . . . . . . . . . . . . . . .
0310
C. Employer's cost for fringe benefits (Include Social Security, Medicare, medical
insurance, etc. Please see information sheet(s) for further clarification.) . . . .
0220
8
Not Applicable.
9
INVENTORIES
2007
Number
2007
Thou.
Dol.
End of 2006
$ Mil.
Thou.
Dol.
End of 2006
$ Mil.
Thou.
Dol.
$ Mil.
A. Did this establishment own inventory, regardless of where held, at the end of 2007 and/or 2006?
0486
Yes - Go to line B
0487
No - Go to 16
B. Total Inventories
(Report the total value of inventories the
establishment owned.) . . . . . . . . .
Mark "X"
if None
End of 2007
$ Mil.
Thou.
Mark "X"
if None
Dol.
0470
0460
0388
Yes - Complete lines 1 through 3. Total should equal the amounts reported in line B.
0389
No - Go to 16
Mark "X"
if None
End of 2007
$ Mil.
Thou.
Mark "X"
if None
Dol.
1. Finished goods . . . . . . . . . . .
0461
0471
2. Work-in-process
. . . . . . . . . .
0463
0473
3. Materials, supplies, fuels, etc. . . . .
0462
0472
10 – 15 Not Applicable.
CONTINUE ON PAGE 4
98183031
C. Did this establishment have inventories by stage of fabrication at the end of 2007 and/or 2006?
Form IA-98183
Page 4
(DRAFT)
16 SELECTED EXPENSES
Mark "X"
if None
A. Operating expenses (Include payroll. Exclude cost of goods sold and interest.)
0136
B. Net purchases of merchandise for resale. (Include amounts allowed for tradeins. Exclude returns, allowances, and trade/cash discounts.) . . . . . . . . . .
0137
$ Mil.
2007
Thou.
Dol.
17 and 18 Not Applicable.
19 KIND OF BUSINESS
Which ONE of the following best describes this establishment's principal kind of business in 2007?
(Mark "X" only ONE box.)
Health care and social assistance
0700
621 110 00 1
Office of physician (M.D. or D.O.)
621 210 00 2
Office of dentist
621 310 00 2
Office of chiropractor
621 320 00 3
Office of optometrist
621 390 00 1
Offices of all other health practitioners
621 410 00 3
Family planning centers
621 420 00 6
Outpatient mental health and substance abuse center
621 610 00 6
Home health care service
621 910 00 3
Ambulance services
623 310 00 1
Residential care facilities for the elderly
624 110 00 C
Social assistance service for children and youth
624 120 00 C
Social assistance service for the elderly and disabled
624 410 00 7
Child day care service
772 000 00 B
Other health care and social assistance - Specify
0701
811 110 00 1
General automotive repair shop
811 120 00 1
Automotive body, paint, interior, and glass repair
811 190 00 1
Carwash, oil change, lubrication, or other automotive services and maintenance
811 210 00 1
Electronic repair and maintenance
811 310 00 1
Commercial or industrial equipment repair and maintenance
811 410 00 1
Appliance repair and maintenance
CONTINUE WITH
19
ON PAGE 5
CONTINUE ON PAGE 5
98183049
Repair and maintenance services
Form IA-98183
Page 5
(DRAFT)
If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
19 KIND OF BUSINESS - Continued
Repair and maintenance services - Continued
0700
811 420 00 3
Reupholstery and furniture repair
772 000 00 8
Other maintenance and repair services - Specify
0701
Accommodations
721 110 00 7
Hotel (except with casino) or motel
721 120 00 2
Hotel with casino
772 000 00 4
Other traveler accommodation - Specify
0701
Food services
722 110 00 4
Full-service restaurant
722 210 00 1
Refreshment place, limited service restaurant or fast food restaurant
722 410 00 9
Bar, tavern, pub, or other drinking place (alcoholic beverages)
722 320 00 3
Caterer for banquets, weddings, conferences, seminars, etc.
772 000 00 2
Other food service - Specify
0701
Information, professional, business, educational and personal services
Newspaper publishers, except Internet publishers
511 120 00 2
Periodical publishers and shopping news publishers, except Internet publishers
516 110 00 1
Internet publishers, including newspapers, books, periodicals, greeting cards, databases, etc.
511 190 00 6
Other publishers, except Internet publishers
512 130 00 1
Motion picture theaters
532 230 00 4
Video tape rental
541 110 00 3
Offices of lawyers
541 190 00 1
All other legal services
541 211 00 6
Accounting, tax preparation, bookkeeping, and payroll services
541 310 00 1
Architectural services, excluding landscape
561 730 00 3
Landscaping services, including interior plant maintenance
541 330 00 E
Engineering services
541 430 00 1
Graphic design services
CONTINUE WITH
19
98183056
511 110 00 1
ON PAGE 6
CONTINUE ON PAGE 6
Form IA-98183
Page 6
(DRAFT)
19 KIND OF BUSINESS - Continued
Information, professional, business, educational and personal services - Continued
0700
541 610 00 1
Management consulting service
541 810 00 3
Advertising agencies
561 310 00 4
Employment placement agencies
561 320 00 6
Temporary staffing
561 720 00 1
Janitorial services
561 740 00 1
Rug, carpet, and upholstery cleaning services
611 620 00 1
Sports and recreation instruction services
713 120 00 1
Arcades and family fun centers
713 910 00 3
Golf courses
713 940 00 1
Fitness center, gymnasium, or athletic club
812 190 00 1
Diet or weight reducing services
812 110 00 1
Beauty shop, barber shop, facial, or nail salon
315 210 00 3
Custom sewing shop
812 310 00 1
Coin-operated laundry
812 320 00 1
Drycleaning and laundry services
541 920 00 1
Photographic studio, portrait
812 920 00 1
Photofinishing, including one-hour
812 210 00 1
Funeral home
813 410 00 1
Civic, social, or fraternal organizations
772 000 00 5
Other information, professional, business, educational and personal services - Specify
0701
484 110 00 1
General freight trucking
484 210 00 1
Used household and office goods moving
485 310 00 5
Taxi service
485 990 00 2
Other transit and ground passenger transportation
561 510 00 1
Travel agencies
561 520 00 2
Tour operators
488 110 00 1
Airport operation and terminal services
488 410 00 2
Towing services
488 510 00 2
Air, ocean, or other freight forwarder
CONTINUE WITH
19
98183064
Transportation and storage services
ON PAGE 7
CONTINUE ON PAGE 7
Form IA-98183
Page 7
(DRAFT)
If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
19 KIND OF BUSINESS - Continued
Transportation and storage services - Continued
0700
492 110 00 2
Courier services
492 210 00 4
Local messenger and delivery services
493 110 00 5
Warehousing and storage - general merchandise
562 110 00 1
Waste collection
774 000 00 3
Other transportation and storage services - Specify
0701
441 110 00 1
Motor vehicle dealer, new and used
441 120 00 6
Motor vehicle dealer, used only
441 310 00 1
Automotive parts and accessories store
441 320 00 2
Tire dealer
442 110 00 1
Furniture store
442 210 00 1
Floor coverings store
442 290 00 1
Homefurnishing store
443 110 00 1
Household appliance/electronics store
443 120 00 1
Computer and/or software store
444 130 00 1
Hardware store
444 210 00 4
Outdoor power equipment store or dealer
444 220 00 2
Nursery, garden center or farm supplies store or dealer
445 110 00 6
Supermarket or grocery store
445 120 00 1
Convenience food store
445 210 00 2
Meat market
445 310 00 1
Liquor store
446 110 00 1
Pharmacy or drug store
446 130 00 7
Optical goods store including sunglasses stores
447 110 00 1
Gasoline station with convenience store
447 190 00 1
Gasoline station with no convenience store
448 110 00 3
Men's clothing store
448 120 00 1
Women's clothing store
448 140 00 1
Family clothing store
CONTINUE WITH
19
98183072
Retail
ON PAGE 8
CONTINUE ON PAGE 8
Form IA-98183
Page 8
(DRAFT)
19 KIND OF BUSINESS - Continued
Retail - Continued
0700
448 210 00 1
Shoe store
448 310 00 1
Jewelry store
448 320 00 1
Luggage and leather goods store
451 110 00 1
Sporting goods store
451 210 00 1
Book/newsstand/comic book store
452 110 00 1
Department store including discount or mass merchandising
452 990 00 1
General merchandise store, including variety, dollar, and home and auto supply
453 110 00 1
Florist
453 220 00 8
Gift, novelty, craft, and souvenir store
453 210 00 7
Office supply/stationery/school supplies store
453 310 00 1
Used merchandise store
453 910 00 6
Pet and pet supplies store
522 290 00 7
Consumer (personal) finance or small loan company
772 000 00 9
Other retail business - Specify
0701
Wholesale
423 000 00 1
Merchant wholesaler, durable goods such as automobiles, furniture, hardware, appliances,
machinery, etc. - Specify
424 000 00 1
Merchant wholesaler, nondurable goods such as paper, medicine, apparel, groceries, books,
flowers, etc. - Specify
425 000 00 1
Wholesale electronic markets and agents and brokers - Specify
0701
0701
98183080
0701
Manufacturing
311 000 00 3
Food manufacturing
315 000 00 3
Apparel manufacturing
323 000 00 1
Printing and related support activities
310 000 00 1
Other manufacturing - Specify
0701
CONTINUE WITH
19
ON PAGE 9
CONTINUE ON PAGE 9
Form IA-98183
Page 9
(DRAFT)
If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
19 KIND OF BUSINESS - Continued
Construction
0700
237 210 00 1
Land subdivision
236 000 00 1
Building construction - residential and nonresidential construction or remodeling/additions of
buildings by general contractors or operative builders
237 000 00 1
Heavy and civil engineering construction including street, bridges, sewers, etc.
238 000 00 1
Specialty trade contractors including painting, electrical work, plumbing, etc.
Finance, insurance, and real estate
521 110 00 4
Bank
522 290 00 8
Consumer finance or small loan company
524 110 00 1
Life, accident and health, and medical insurance carrier
524 210 00 E
Insurance agent
531 110 00 2
Lessor of residential buildings and dwellings
531 120 00 2
Lessor of nonresidential buildings
522 310 00 5
Mortgage and other loan brokers
531 210 00 3
Real estate agent or broker
772 000 00 6
Other finance, insurance and real estate - Specify
0701
Rental and leasing services, except real estate
Passenger car rental and leasing
532 120 00 2
Truck, utility trailer, and recreational vehicle
532 310 00 3
General rental center
532 410 00 1
Heavy construction and earthmoving equipment, aircraft, or tugboats without operators
238 900 00 1
Construction equipment rental with operator
532 420 00 2
Office machinery and equipment
532 490 00 2
Other commercial and industrial machinery and equipment
532 210 00 1
Consumer electronics and appliances
532 220 00 1
Formal wear and costume rental
532 230 00 3
Video tape/DVD rental store
532 290 00 5
Rental of personal items or items for the home, including hospital beds, party supplies, etc.
775 000 00 2
Other rental and leasing, excluding real estate - Specify
98183098
532 110 00 2
0701
CONTINUE WITH 19 ON PAGE 10
CONTINUE ON PAGE 10
Form IA-98183
Page 10
(DRAFT)
19 KIND OF BUSINESS - Continued
Other kinds of business or activity
0700
813 110 00 2
Churches and other religious organizations
220 000 00 1
Utilities - Specify
814 110 00 1
Private household, employing domestic help, e.g., cooks, maids, etc.
110 000 00 1
Crop or animal production or agricultural services
772 000 00 C
Other business or activity - Specify
0701
0701
20 CLASS OF CUSTOMER
Estimate the percentage of this establishment's total sales within the Northern Mariana Islands
(reported in 5 ) by class of customer:
2007
Whole percent
of sales and
receipts
0261
2. Retail establishments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0263
3. Wholesalers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0264
4. Restaurants, food services, and nightclubs . . . . . . . . . . . . . . . . . . . . . . . . .
6259
5. Hotels
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6255
6. Travel agencies and other passenger transportation services . . . . . . . . . . . . . . . . .
6261
7. Other service establishments including truck and passenger car rental and leasing . . . . . .
6262
8. Apparel manufacturers
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6265
9. Other manufacturer establishments and quarries . . . . . . . . . . . . . . . . . . . . . .
6266
10. Construction contractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0269
11. Banks, insurance, and real estate companies . . . . . . . . . . . . . . . . . . . . . . . .
6277
12. Governmental bodies (Federal and Commonwealth) . . . . . . . . . . . . . . . . . . . . .
0271
13. Farmers for farm use
0270
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
%
%
%
%
%
%
%
%
%
%
%
%
14. Other - Specify
0874
0272
15. TOTAL (Add lines 1 through 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
1 0 0 %
21 Not Applicable.
CONTINUE ON PAGE 11
98183106
1. Individual users and household consumers (including tourists) . . . . . . . . . . . . . . . .
Form IA-98183
Page 11
(DRAFT)
If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
2007
Percent
HOW TO
REPORT
PERCENTS
If figure is 38.76% of total sales:
Report whole percents
22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE
3 9 %
2007
Whole percent
of sales and
receipts
A. Percent of this establishment's sales, revenue, or other operating receipts (reported in 5 ), for
products manufactured at this establishment . . . . . . . . . . . . . . . . . . . . . . . . . .
%
0110
B. Briefly describe your principal business activities and report as whole percent of total sales, revenue, or
other operating receipts reported in 5 (e.g., gasoline 60%, auto repairs 11%, oil 2%).
2007
Census Whole percent
use
of sales and
receipts
Description of sales, shipments, receipts, or revenue
0723
0720
1.
19811
2.
19812
3.
19813
0722
%
%
%
23 – 25 Not Applicable.
26 SPECIAL INQUIRIES
NOTE - Answer only if the principal kind of business reported in 19 for this establishment is HOTEL, MOTEL, OR
OTHER TRAVELER ACCOMMODATION. Otherwise, go to 27 .
NUMBER AND TYPE OF ACCOMMODATIONS
1. Number of rooms, units, or quarters primarily rented as transient as of December 31,
2007 (Consists of the number which can be rented as single units. Suites of rooms
which cannot be subdivided should be counted as a single unit.) . . . . . . . . . . . .
Number
2402
2921
Yes
2922
No
98183114
2. Were more than half of guestroom or unit rental receipts from transient guests?
CONTINUE ON PAGE 12
Form IA-98183
Page 12
(DRAFT)
27 LEGAL FORM OF ORGANIZATION AND OWNERSHIP
A. Legal form of organization that best describes this establishment at the end of 2007 (Mark "X" only ONE box.)
0691
Individual proprietorship
0692
Partnership
0694
Corporation
0696
Other - Specify
0806
B. Citizenship of majority ownership of this establishment in 2007 (Mark "X" only ONE box.)
6086
U.S. citizen - CNMI born (Chamorro or Carolinian)
6097
U.S. citizen - CNMI born (NOT Chamorro or Carolinian)
6087
U.S. citizen - not CNMI born
6088
Japanese citizen
6089
Filipino citizen
6090
Korean citizen
6098
Chinese citizen
6085
Other citizenship - Specify
0885
0699
Not known/not determinable (Such as publicly traded)
C. Gender of majority ownership of this establishment in 2007 (Mark "X" only ONE box.)
6077
Male-owned
6084
Female-owned
6078
50/50 Male/Female - Equal percent of ownership
6079
Not known/not determinable (Such as publicly traded)
98183122
28 and 29 Not Applicable.
CONTINUE ON PAGE 13
Form IA-98183
Page 13
(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
Number
-
Internet e-mail address
Year
Month
FROM
Year
TO
98183130
Is the time period covered by this report a calendar year?
Title
Extension
Area code
Number
Fax
Date
completed
Month
Day
Thank you for completing your 2007 ECONOMIC CENSUS form.
PLEASE PHOTOCOPY THIS FORM FOR YOUR RECORDS AND RETURN THE ORIGINAL.
Year
File Type | application/pdf |
File Title | IA-98183 $$00 ECONOMIC CENSUS - Northern Mariana Islands |
Author | parke343 |
File Modified | 2006-10-13 |
File Created | 2006-10-12 |