QFR-201(MG) Quarterly Financial Report, Manufacturing

OMB No. 0607-0432: Approval Expires 7/31/2007
FORM QFR-201(MG)
(8-24-2006)

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

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.

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

MANUFACTURING
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.

RETURN
OR
FAX TO

7/31/2007

Director
U.S. CENSUS BUREAU
1201 East 10th Street
Jeffersonville, IN 47132-0001
FAX No. 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
Area code

013

Telephone
014

Fax

(

Extension

)

Area code

(

Number

5.

–

a.

Yes – STOP! Read the enclosed Rules for Consolidation
(Section 1C in Instructions.) before completing Item 6 and
the remainder of this form.

b.

No – Proceed to reverse side and complete.

6.

Number

)

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

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

–

NOTE — Questions in Items 2 through 7 refer to the
corporation named in the address box.

Month

Day
7.

021

How many subsidiary corporations reported
in Item 6 are —

2a. Annual closing date of this corporation
b. Federal Employer
Identification Number
022
assigned to this
corporation
3. Corporation status – Mark (X) one.
a.
Active

072

–

Discontinued business – Enter date

c.

Was merged – Enter date merged

b. Not fully consolidated in this report?
Month

Day

Year

034

035

4. Is this corporation owned more than 50 percent by
another corporation? – Mark (X) one
a.
No
Yes – Provide the following information for the parent corporation

043

Name

044

Federal Employer Identification Number

045

Address

USCENSUSBUREAU

Number
071

a. Fully consolidated in this report?

Number

b.

b.

Number
061

c. Below or on a separate sheet, explain any change(s) in Items
7a or 7b from previous report. Include company name, Federal
Employer Identification No. (FEIN), effective date, and reason
for change; e.g., company acquired, sold, merged, dissolved,
etc. For each new company included in Item 7b, also provide
the reason why it is not consolidated; e.g., foreign or
excludable industry. Rules for Consolidation – See Section
1C of instructions. (Include QFR Identification Number on all
attached information.)
073

PLEASE KEEP A COPY OF THIS FORM FOR YOUR RECORDS
PLEASE READ INSTRUCTIONS BEFORE COMPLETING THIS REPORT.
AUDITED FIGURES ARE NOT REQUIRED. Estimates are acceptable for line items where actual data are not available.
REPORT ALL DOLLAR FIGURES IN THOUSANDS.
401 FROM: Month

Schedule A – Statement of Income and Retained
Earnings for your 3-MONTH PERIOD (inclusive)

Year 402 TO: Month

Day

Day

Year

AMOUNT
(in thousands)
101

1. Sales, receipts, and operating revenues (net of returns and allowances, and excise and sales taxes) . . . . . . . . . . . . . . . .

$

102

2. Depreciation, depletion, and amortization of property, plant, and equipment

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
103

3. All other operating costs and expenses — Include cost of goods sold (net of purchase discounts), selling,
general, and administrative expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
104

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

$

105

5. Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1

6. Nonoperating income and expenses — Include interest income, equity and dividend income, etc.

110

. . . . . . . . . . . . . . . . . . . .
111

7. Income (loss) before income taxes — Sum of Items 4 and 6 less Item 5

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

$

114

2

8. Provision for current and deferred domestic income taxes on Item 7 (accrue payable in Items 24 and 28) . . . . . . . . . . . . . .
115

9. Net income (loss) for quarter — Item 7 less Item 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

119

10. CENSUS USE ONLY — REB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
120

11. Cash dividends declared this quarter — Include 1120S cash distributions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. CENSUS USE ONLY — ADJ

122

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
123

13. CENSUS USE ONLY — REE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
403 Month

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

Day

$

Year

AMOUNT
(in thousands)
201

ASSETS

14a. Cash and demand deposits in the U.S.

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

$

202

b. Time deposits in the U.S. — Include negotiable certificates of deposit.

. . . . . . . . . . . . . . . . . . . . . . . . . . .
210

15. Other short-term financial investments — Include marketable and government securities, commercial paper, etc.

. . .
213

3

16. Trade accounts and trade notes receivable (less allowance for doubtful accounts) . . . . . . . . . . . . . . . . . . . . . .
17. Inventories

3

214

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
215

3

18. All other current assets — Include prepaid expenses and income taxes receivable. . . . . . . . . . . . . . . . . . . . . . .
216

19a. Plant and equipment — Include construction in progress.

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

$

217

b. Land and mineral rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

218

c. Accumulated depreciation, depletion, and amortization . . . . . . . . . . . . . . . . . . . . . .
219

d. Net property, plant, and equipment — Sum of Items 19a and 19b less Item 19c . . . . . . . . . . . . . . . . . .
20. All other noncurrent assets — Include long-term investments, intangibles, etc. . . . . . . . . . . . . . . . . . . . . . . .
21. TOTAL ASSETS
Sum of Items 14a through 18, 19d, and 20 (must equal Item 30 below)
LIABILITIES
AND
STOCKHOLDERS’
EQUITY

222
223

$
301

22a. Short-term loans (original maturity of one year or less) from banks — Include overdrafts . . . . . . . . . . . . . . .

$

304

b. Other short-term loans (original maturity of one year or less) — Include commercial paper. . . . . . . . . . . . . . .
306

23. Trade accounts and trade notes payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
309

24. Domestic income taxes accrued, prior and current years, net of payments — Include overpayments.

. . . . . . . . .
310

25. Current portion of long-term debt — Classify noncurrent portion in Item 27. . . . . .

{

26. All other current liabilities — Include accrued expenses and excise, sales, and payroll taxes.

a. Loans from banks . . .
313

b. Other long-term loans . .
3

315

. . . . . . . . . . . . . .
316

27. Long-term debt due in more than one year — Classify current portion in Item 25.

. .

{

a. Loans from banks . . .
319

b. Other long-term loans . .
320

28. All other noncurrent liabilities — Include deferred income taxes and minority stockholders’ interest. . . . . . . . . . . . . .
326

29a. Capital stock and other capital (less treasury stock). . . . . . . . . . . . . . . . . . . . . . . . .

$

322

b. Retained earnings at end of quarter

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

327

c. Stockholders’ equity — Sum of Items 29a and 29b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
328

30. TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY
Sum of Items 22a through 28 and 29c (must equal Item 21 above)
1
2
3

$

List and explain, below in Item A or on a separate sheet, the principal debits and credits reflected during the quarter in Item 6.
If tax provision is not shown in Item 8, explain briefly (e.g. "net operating loss," "1120S, etc.) below in Item B.
Progress payments and billings from U.S. Government and others should not be deducted from Items 16, 17, and 18; they should be included in Item 26.

Item A

Description

AMOUNT (in thous.)

Description

AMOUNT (in thous.)

500

Item B
501

Special instructions

FORM QFR-201(MG) (8-24-2006)

Page 2