MI-21171 Crude Petroleum and Natural Gas Extraction

Source: CURRENT; layout IN SYNC as of 15-Feb-2007 15:44:27
Item : Q uestionnaire M I-21171 -2007 ECO N O M IC CEN SU S :Crude Petroleum and N aturalG as Extraction
M edia: PA PER /LETTER (8 1/2 X 11)
S tatus:U N LO CKED (D RA FT)
U ser: BU CCI001
EM R : EQ CPRD /6.05.16.13.33.55
G ID S : 0.3.58.171
D ate: 02-Feb-2007 10:19:15

N o errors ☺
N o w arnings ☺

U .S.D EPA RTM EN T O F CO M M ERCE
Econom ics and Statistics A dm inistration

U .S.CEN SU S BU REA U

2007 EC O N O M IC C EN S U S
C rude P etroleum and N aturalG as Extraction

FO RM

M I-21171

O M B N o.:A pprovalExpires

(D R A FT)

D U E D A TE
FEB R U A R Y 12, 2008
M I-21171

M ailyour com pleted form to:
U .S .C EN S U S B U R EA U
1201 East 10th S treet
Jeffersonville,IN 47134-0001
P lease read the accom panying
inform ation sheet(s)before
answ ering the questions.
N eed help or have questions
about filling out this form ?
V isit w w w .census.gov/econhelp
C all1-800-233-6136,betw een
8:00 a.m .and 6:00 p.m .,Eastern
tim e,M onday through Friday.
-O R W rite to the address above.
Include your 11-digitCensus File
N um ber (CFN )printed in the
m ailing address.

(Please correct any errors in this m ailing address.)

Y O U R R ES P O N S E IS R EQ U IR ED B Y LA W . Title 13,U nited States Code,requires businesses and other organizations
thatreceive this questionnaire to answ er the questions and return the reportto the U .S.Census Bureau. By the sam e
law ,Y O U R C EN S U S R EP O R T IS C O N FID EN TIA L. Itm ay be seen only by persons sw orn to uphold the confidentiality
ofCensus Bureau inform ation and m ay be used only for statisticalpurposes. Further,copies retained in respondents'
files are im m une from legalprocess.
•U se blue or black ballpointpen. •Please center num bers in their respective boxes. Exam ples:
•D o notuse pencilor felt-tip pen. •D o notputslashes through 0 or 7.
0 1
•Place an "X " inside the box.

2 3 4 5 6 7 8 9

The reporting unitfor this form is an oiland gas field m ineralestablishm ent. A n oiland gas field m ineral
establishm ent represents oiland gas field activities in one state or offshore area operated by the reporting com pany.
For further clarification,see inform ation sheet(s).
1

EM PLO YER ID EN TIFICA TIO N N U M BER
Is the Em ployer Identification N um ber (EIN )show n in the m ailing address the sam e as the one used for this
establishm enton its latest2007 InternalRevenue Service Form 941,Em ployer's Q uarterly FederalTax Return?
0021

Yes -G o to

2

0022

N o -Enter currentEIN (9 digits)
0025

2

-

PH YSICA L LO CA TIO N
State

21171012

State w here oiland gas field operations ofthis establishm entare physically located (U se 2-letter
postalabbreviation.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0050

P EN A LTY FO R FA ILU R E TO R EP O R T

USCENSUSBUREAU

C O N TIN U E O N P A G E 2

Form M I-21171
3

Page 2

(D R A FT)

O PERA TIO N A L STA TU S
W hich ofthe follow ing bestdescribes this establishm ent's operationalstatus atthe end of2007?
(M ark "X " only O N E box.)
0011

In operation

0016

U nder construction,developm ent,or exploration

0013

Tem porarily or seasonally inactive

0014

Ceased operation -G ive date atright

0018

M onth

D ay

Year

Sold or leased to another operator -G ive date atrightA N D
enter nam e and address ofnew ow ner or operator and
Em ployer Identification N um ber (EIN )below

0015

6030

N am e ofnew ow ner or operator

0061 EIN

(9 digits)

6031

M ailing address (N um ber and street,P.O .Box,etc.)

6032

City,tow n,village,etc.

6033

State

6034 ZIP

Code

4

M ark "X " 2007
if N one N um ber

M O N TH S IN O PERA TIO N
N um ber ofm onths in operation during 2007 (Ifnone,m ark "X " and go to 30 .) . . . . . . . . . . . . 0002

H O W TO
REPO RT
D O LLA R
FIG U RES

D ollar figures should be rounded to
thousands ofdollars.
Ifa figure is $1,025,628.79:
Ifa value is "0" (or less than $500.00):

5

M ark "X "
if N one $ Bil.

2007
M il.

Thou.

1 0 2 6

R eport
R eport

SA LES,SH IPM EN TS,RECEIPTS,O R REVEN U E
(Exclude nonoperating incom e such as royalties,interest,dividends,or the sale
offixed assets.)
A . Totalvalue ofproducts shipped and other receipts (Reportdetailin

22 .)

M ark "X "
if N one $ Bil.

. . .

0100

Reportthe value ofproducts shipped for export.Include shipm ents to
custom ers in the Panam a CanalZone,the Com m onw ealth ofPuerto Rico,
and U .S.possessions,as w ellas the value ofproducts shipped to exporters
or other w holesalers for export.A lso,include the value ofproducts sold to
the U .S.G overnm entto be shipped to foreign governm ents.. . . . . . . . .

0130

2007
M il.

Thou.

B . Value ofproducts exported (This is a breakoutofthe value reported on
line A .)

N otA pplicable.

21171020

6

C O N TIN U E O N P A G E 3

Form M I-21171

Page 3

(D R A FT)

If not show n,please enter your 11-digit C ensus File
N um ber (C FN )from the m ailing address.
7

EM PLO YM EN T A N D PA YRO LL
Include:
•Full-and part-tim e em ployees w orking atthis establishm entw hose payrollw as reported on InternalRevenue
Service Form 941,Em ployer's Q uarterly FederalTax Return,and filed under the Em ployer Identification
N um ber (EIN )show n in the m ailing address or corrected in 1 .
Exclude:
•Full-or part-tim e leased em ployees w hose payrollw as filed under an em ployee leasing com pany's EIN .
•Tem porary staffing obtained from a staffing service.
•Subcontractors and their em ployees.
For further clarification,see inform ation sheet(s).
M ark "X "
if N one

A . N um ber ofem ployees
1. N um ber ofproduction,developm ent,and exploration w orkers for pay period
including M arch 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0325

2. A llother em ployees for pay period including M arch 12 . . . . . . . . . . . .

0336

3. TO TA L (A dd lines A 1 and A 2) . . . . . . . . . . . . . . . . . . . . . . .

0320

B . Payrollbefore deductions (Exclude em ployer's costfor fringe benefits.)

2007
N um ber

M ark "X "
if N one $ Bil.

2007
M il.

Thou.

M ark "X "
if N one $ Bil.

2007
M il.

Thou.

M ark "X "
if N one $ Bil.

2007
M il.

Thou.

2007
M il.

Thou.

1. A nnualpayroll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0300
2. Firstquarter payroll(January-M arch,2007) . . . . . . . . . . . . . . . . 0310
8 – 12
13

14

N otA pplicable.

CA PITA L EX PEN D ITU RES

A . Capitalexpenditures for new and used buildings,structures,m achinery,and
equipm ent(Exclude land.) . . . . . . . . . . . . . . . . . . . . . . . . .

0520

B . Capitalexpenditures for m ineralexploration and developm ent . . . . . . . .

0536

C . TO TA L (A dd lines A and B) . . . . . . . . . . . . . . . . . . . . . . . .

0535

REN TA L PA YM EN TS

21171038

Buildings,m achinery,and equipm ent(Include land.) . . . . . . . . . . . . . .

0550

15

N otA pplicable.

16

CO ST O F SU PPLIES,RESA LES,FU ELS,ELECTRICITY,A N D W O RK D O N E FO R YO U BY O TH ERS
Costofsupplies used,m inerals received for preparation,purchased
m achinery installed;costofproducts boughtand sold as such w ithout
further processing;costofpurchased fuels consum ed for heat,pow er,or the
generation ofelectricity;and costofpurchased electricity;and costofw ork
done for you by others . . . . . . . . . . . . . . . . . . . . . . . . . . .

17 – 21

M ark "X "
if N one $ Bil.
0420

N otA pplicable.

C O N TIN U E O N P A G E 4

Form M I-21171

D ETA IL O F SA LES,SH IPM EN TS,RECEIPTS,O R REVEN U E

Line No.

22

Page 4

(D R A FT)

D escription
0734

U nit of
Census product
m easure for
code
quantities
0730

0736

Products at w ells and services perform ed
Value,f.o.b.establishm ent
Q uantity
$ Bil.
M il.
Thou.
0732

0731

Products
Crude petroleum ,including lease condensate
(Reportvolum es corrected to 60 degrees F.)
1

Shipped . . . . . . . . . . . . . . . . . .

211111 1111

2

From stripper w ellleases (included in line 1)

211111 1121

1000 bbl

3

Lease condensate produced (also included in
line 1)(Reportvolum es corrected to 60 degrees
F.) . . . . . . . . . . . . . . . . . . . . . .

4

N aturalgas (A djustvolum e to a pressure base
of14.73 pounds absolute at60 degrees F.)
Shipped to consum ers (dom estic,
com m ercial,and industrial,including
ow n refineries),distributors,transm ission
com panies,and naturalgas liquids plants
operated by your com pany and operated
by others,less any volum e ofresidue gas
returned to you for field or lease operations .

211111 3100

5

Services perform ed for other establishm ents
D rilling oiland gas w ells,including drilling in,
spudding in or tailing in . . . . . . . . . . . .

213111 0441

6

Pum ping oiland gas w ells butnotoperating
leases . . . . . . . . . . . . . . . . . . . .

213112 3581

211111 1131

m ilft3

1000 ft

O ther oiland gas field services (Specify kind.)

7

213112 W YW T

A llother products m ade in this establishm entSpecify and reporteach productw ith sales value
of$50,000 or m ore thatcannotbe assigned to
one ofthe "listed products and services". For all
rem aining products,w rite "O ther" and reporta
single totalvalue.
18

8
26

9
34

21171046

10

11

Resales -Sales ofproducts boughtand sold
w ithoutfurther m anufacture,processing,or
assem bly (The costofsuch item s should be
reported in 16 ,line A 2.) . . . . . . . . . . . . . .

999890 0000

12

TO TA L (Should equal 5 ,line A ) . . . . . . . . .

770000 0000

23 – 29

N otA pplicable.

C O N TIN U E O N P A G E 5

Form M I-21171

Page 5

(D R A FT)

If not show n,please enter your 11-digit C ensus File
N um ber (C FN )from the m ailing address.
REM A RKS (Please use this space for any explanations thatm ay be essentialin understanding your reported data.)

$$CENSUS_REMARKS$$

30

CERTIFICA TIO N -This reportis substantially accurate and w as prepared in accordance w ith the instructions.

21171053

Is the tim e period covered by this reporta calendar year?
Yes

N o -Enter tim e period covered

M onth

N am e ofperson to contactregarding this report

A rea code
Telephone

N um ber

-

Year

FRO M

M onth

Year

TO

Title

Extension

A rea code

N um ber

Fax

-

Internete-m ailaddress

M onth

D ay

D ate
com pleted

Thank you for com pleting your 2007 EC O N O M IC C EN S U S form .
P LEA S E P H O TO C O P Y TH IS FO R M FO R Y O U R R EC O R D S A N D R ETU R N TH E O R IG IN A L.

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