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Item : Q uestionnaire M I-21271 -2007 ECO N O M IC CEN SU S :Stone M ining and Q uarrying,and Sand and G ravel
M ining
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 10:48:22
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
S tone M ining and Q uarrying,and S and and G ravelM ining
FO RM
M I-21271
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-21271
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 establishm ent. A n establishm ent is generally a single physicallocation
w here business is conducted or w here services or industrialoperations are perform ed. 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
-
N o -Enter currentEIN (9 digits)
0022
0025
2
PH YSICA L LO CA TIO N
A . Is this establishm ent's physicallocation the sam e as show n in the m ailing address?
(P.O .Box and ruralroute addresses are notphysicallocations.)
21271010
0031
0032
Yes -G o to line B
N o -Enter
physical
location
0035
N um ber and street
0036
City,tow n,village,etc.
0037
State
0038
ZIP Code
B . Is this establishm entphysically located inside the legalboundaries ofthe city,tow n,village,etc.?
(M ark "X " only O N E box.)
0041
Yes
0042
No
0043
N o legalboundaries
0044
D o notknow
C . In w hattype ofm unicipality is this establishm entphysically located? (M ark "X " only O N E box.)
0046
City,village,or borough
P EN A LTY FO R FA ILU R E TO R EP O R T
USCENSUSBUREAU
0047
Tow n or tow nship
0048
O ther
0024
D o notknow
C O N TIN U E O N P A G E 2
Form M I-21271
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.
21271028
6
C O N TIN U E O N P A G E 3
Form M I-21271
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 N D A SSETS
A . Capitalexpenditures during year (Exclude land and m ineralrights. Include
costofcapitalized developm ent,exploration,plantand other construction,
m achinery and equipm entinstalled. Include new and used plantand
equipm ent.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0520
B . Capitalexpenditures for land and m ineralrights
. . . . . . . . . . . . . .
0537
C . G ross value ofdepreciable and/or depletable assets atthe end ofthe year . .
0505
REN TA L PA YM EN TS
21271036
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-21271
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
Q uantity of
production
0733
Shipm ents and interplant transfers
Value,f.o.b.establishm ent
Q uantity
$ Bil.
M il.
Thou.
0732
0731
Crushed or broken stone
1
Lim estone . . . . . . . . . . . .
212312 0100
2
G ranite . . . . . . . . . . . . .
212313 0100
short tons
O ther stone (Specify kind.)
3
212319 0121
Construction sand and gravel(run
ofpitor bank,w ashed,screened,or
otherw ise treated) . . . . . . . . . .
4
212321 0100
A llother products m ade in this
establishm ent-Specify and report
each productw ith sales value
of$50,000 or m ore thatcannot
be assigned to one ofthe "listed
products and services". For all
rem aining products,w rite "O ther" and
reporta single totalvalue.
18
5
26
6
34
7
Receipts for w ork or services
perform ed for other establishm ents,
such as hauling,stripping,pum ping,
and shop w ork (Exclude receipts
for dressing,m illing,crushing,or
other preparation on a custom or
tollbasis.)(Specify kind ofw ork or
services perform ed.)
21271044
8
213115 0YW T
9
Resales -Sales ofproducts bought
and sold w ithoutfurther m anufacture,
processing,or assem bly (The costof
such item s should be reported in 16 ,
line A 2.) . . . . . . . . . . . . . .
999890 0000
10
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-21271
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.
21271051
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.
Year
File Type | application/pdf |
File Title | MI-21271 $$00 ECONOMIC CENSUS - Stone Mining and Quarrying, and Sand and Gravel Mining |
Author | wilso056 |
File Modified | 2007-02-15 |
File Created | 2007-02-15 |