Form QFR-300(S) Quarterly Financial Report

OMB No. 0607-0432: Approval Expires
FORM QFR-300(S)
(4-7-2008)

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

NOTICE – 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 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.

U.S. CENSUS BUREAU

(Please correct any errors in name, address, and ZIP Code)

MANUFACTURING,
MINING, RETAIL, AND
WHOLESALE TRADE
QUARTERLY FINANCIAL
REPORT
NOTE – Please read the enclosed Rules for
Consolidation before completing this
report. CONSOLIDATE the domestic
operations of those majority-owned
corporations that are specified. DO NOT
CONSOLIDATE those explicitly excluded.
Audited figures are not required.
Estimates are acceptable for line items
where actual data are not available.

Director

RETURN U.S. CENSUS BUREAU
1201 East 10th Street
OR
Jeffersonville, IN 47132-0001
FAX TO

FAX 1-800-447-4613

INTERNET REPORTING — You may complete this survey online at:

www.census.gov/econhelp/qfr

Username:

Use your firm’s unique username and original password.

1.

Password:

Person to contact regarding this report – Print or type

011

Name and title

012

e-mail address

013

Telephone
014

Fax

7.

Area code

(

How many subsidiary corporations reported
in Item 6 are —

–

NOTE — Questions in Items 2 through 9 refer to the
corporation named in the address box.

Month

Day

021

IMPORTANT

2a. Annual closing date of this corporation
b. Federal Employer
Identification Number
assigned to this
corporation

Number

8.

Active

c.

Was merged – Enter date merged

Federal Employer
Identification Number
081

3. Corporation status – Mark (X) one

Discontinued business – Enter date

Number
071

Note below any change(s) in Items 7a or 7b from
previous report. If more space is needed, reference
item number and attach a separate sheet. (Include QFR
Identification Number on all attached information.)

Corporate name

–

a.

Number

Additions to Item 7

022

b.

Number

b. Not fully consolidated in this report?

Number

)

061

072

–

)

How many domestic and foreign corporations
are directly or indirectly (all tiers) owned
more than 50 percent by this corporation?

a. Fully consolidated in this report?

Extension

Number

Area code

(

6.

Month

Day

Year

034

082

035

Date
acquired

Place
incorporated

Primary business activity

4. Is this corporation owned more than 50 percent by
another corporation? – Mark (X) one
No
a.
b.
043
044

045

Yes – Provide the following information for the parent corporation
Name
Federal Employer Identification Number

a.

b.

Deletions from Item 7
Reason deleted (sold,
merged, dissolved, etc.)

Corporate name

Address

Does this corporation own more than 50 percent of any other
corporation? – Mark (X) one

5.

9.

Yes – STOP! Read the enclosed Rules for Consolidation
(See Section 1C of instructions.) before completing Item 6
and the remainder of this form.
No – Proceed to reverse side and complete.

USCENSUSBUREAU

Total assets at sale
date (in thousands)

Date
deleted

Federal Employer
Identification Number
091

092

PLEASE KEEP A COPY OF THIS FORM FOR YOUR RECORDS
PLEASE READ INSTRUCTIONS BEFORE COMPLETING THIS REPORT. REPORT ALL DOLLAR FIGURES IN THOUSANDS.
AUDITED FIGURES ARE NOT REQUIRED. Estimates are acceptable for line items where actual data are not available.
Schedule A – Statement of Income and Retained
Earnings for your 3-MONTH PERIOD (inclusive)

401 FROM: Month

Day

Year 402 TO: Month

Day

Year

AMOUNT
(in thousands)

1. All operating revenue, sales, fees and receipts (net of returns and allowances, and excise and sales taxes). 1 . . . . . . . . . . . . . . . .
2. Depreciation, depletion, and amortization of property, plant, and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

101

3. All other operating costs and expenses — except interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

103

4. Income (loss) from operations — Item 1 less the sum of Items 2 and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

104

5. Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

105

6. Dividend income — Domestic and foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. Other recurring nonoperating income (expense) — Include interest income, royalties, minority interest, etc. 2. . . . . . . . . . . . . . . .
2
8. Nonrecurring items — Include gain (loss) on sale of assets, restructuring costs, asset writedowns, disposal of business segments, etc. .
9. Income (loss) of foreign branches and equity in earnings (losses) of domestic and foreign nonconsolidated subsidiaries and other
investments accounted for by the equity method, net of foreign taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

102

$

106
107
108

$

109

111

$
10. Income (loss) before income taxes — Sum of Items 4, 6, 7, 8, and 9 less Item 5 . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
a. Federal . . . . . . . . . .112
.
11. Provision for current and deferred domestic income taxes (accrue payable in Items 33 and 37).
3
113
b. State and local . . . . . .
115
$
12. Income (loss) before extraordinary items and cumulative effect of accounting changes — Item 10 less Items 11a and 11b

{

2

13. Extraordinary gains (losses) net of taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
14. Cumulative effect of accounting changes net of taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15. Net income (loss) for quarter — Sum of Items 12, 13, and 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16. Retained earnings at beginning of quarter — If not the same as Item 38b of preceding quarter, explain below. . . . . . . . . . .
17. Cash dividends declared this quarter — Include 1120S cash distributions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
18. Other direct credits (charges) to retained earnings — Include stock and other non-cash dividends . . . . . . . . . . . . . . . . . . . . .
19. Retained earnings at end of quarter — Sum of Items 15, 16, and 18 less Item 17 (same as Item 38b) . . . . . . . . . . . . . .
403 Month

Schedule B – Balance Sheet As Of
The same as ending date of Schedule A above
ASSETS

20a. Cash and demand deposits in the U.S.

Day

. . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.

.
.
.
.
.

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.
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.
.

120
121
123

201

$

203
204
205
206
207
208

24. Inventories

214

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

202

209

c.
d.
27.
28.
29.

$

119

d. Other short-term financial investments — Include bankers’ acceptances . . . . . . . . . . . . . . . . . . . . . . . . . . .
23a. Trade receivables from the U.S. Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Other trade accounts and trade notes receivable (less allowance for doubtful accounts) . . . . . . . . . . . . . . . . . .
25. All other current assets — Include prepaid expenses and income taxes receivable. . . . . . . . . . . . . . . . . . . . . .
216
$
26a. Plant and equipment — Include construction in progress. . . . . . . . . . . . . . . . . . . . .
217
b. Land and mineral rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

LIABILITIES
AND
STOCKHOLDERS’
EQUITY

118

AMOUNT
(in thousands)

. . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.

117

Year

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b. Time deposits in the U.S. — Include negotiable certificates of deposit. . . . . . . .
c. Deposits outside the U.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21a. U.S. Treasury and Federal agency securities — Subject to agreements to sell . . .
b. U.S. Treasury and Federal agency securities — Due in one year or less . . . . . .
22a. Commercial and finance company paper of U.S. issuers. . . . . . . . . . . . . . .
b. State and local government securities due in one year or less . . . . . . . . . . .
c. Foreign securities due in one year or less . . . . . . . . . . . . . . . . . . . . . .

116

211
212

215

218

Accumulated depreciation, depletion, and amortization . . . . . . . . . . . . . . . . . . . . . . . .
Net property, plant, and equipment — Sum of Items 26a and 26b less Item 26c . . . . . . . . . . . . . . . . . .
U.S. Treasury and Federal agency securities due in more than one year . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other noncurrent assets — Include investment in nonconsolidated entities, long-term investments, intangibles, etc. .
TOTAL ASSETS – Sum of Items 20a through 25, 26d, 27, and 28

a.
30. Short-term loans (original maturity of one year or less) — Include overdrafts . . .
b.
c.
31. Advances and prepayments by the U.S. Government . . . . . . . . . . . . . . . . . . . . .

{

Loans from banks . . .
Commercial paper . .
Other short-term loans
. . . . . . . . . . . . . . .

32. Trade accounts and trade notes payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33. Domestic income taxes accrued, prior and current years, net of payments —
a. Federal . . . . . . . . .
Include overpayments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. State and local . . . .

{

34. Current portion of long-term debt — Classify noncurrent portion in Item 36.

. . . . .

{
{

a. Loans from banks . .
b. Bonds and debentures
c. Other long-term loans

35. All other current liabilities — Include excise and sales taxes, accrued expenses, and current potion of capital leases. . . .
a. Loans from banks . .
36. Long-term debt due in more than one year — Classify current portion in Item 34. . . .
b. Bonds and debentures
c. Other long-term loans

219
220
221
223

$

301

$

302
303
305
306
307
308
310
311
312
314
316
317
318
320

37. All other noncurrent liabilities — Incl. deferred taxes, minority stockholders’ interest, and long-term portion of capital leases.
38a. Capital stock and other capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Retained earnings (same as Item 19)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c. Cumulative foreign currency translation adjustment . . . . . . . . . . . . . . . . . . . . . . .
d. Other stockholders’ equity items — Include unearned compensation and ESOP debt guarantees.

321

$

322
323
324
325

e. Treasury stock at cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Stockholders equity — Sum of Items 38a through 38d less Item 38e . . . . . . . . . . . . . . . . . . . . . . . . .
39. TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY — Sum of Items 30a through 37 and 38f

327
328

$

Report sales and costs from the normal business activities of discontinued operations in the same manner as sales and costs from continuing operations.
2 List and explain, below or on a separate sheet, the principal debits and credits reflected during the quarter.
3 If tax provision is not shown explain briefly (e.g., "net operating loss,**1120S", etc.)
1

Item

FORM QFR-300(S) (4-7-2008)

Description

Page 2

AMOUNT (in thous.)