MI-21352 Mineral Contract Services - Consolidated

Source: FRESHLY ASSEMBLED; layout IN SYNC as of 15-Feb-2007 16:55:17
Item : Q uestionnaire M I-21352 -2007 ECO N O M IC CEN SU S :M ineralContractServices -Consolidated
M edia: PA PER /LETTER (8 1/2 X 11)
S tatus:U N LO CKED (D RA FT)
U ser: W ILSO 056
EM R : EQ CPRD /6.05.16.13.33.55
G ID S : 0.3.62.206
D ate: 15-Feb-2007 16:55:11

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
M ineralC ontract S ervices -C onsolidated

FO RM

M I-21352

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 ailyour com pleted form to:

M I-21352

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 a m ineralservice establishm ent. A m ineralservice establishm ent
represents allnationw ide m ineralsupportactivities perform ed for operators ofm ineralproperties
under your currentEm ployer Identification N um ber (EIN )on a fee or contractbasis.

21352018

M ineralservice activities include exploration and other m ining and quarrying supportservices.
For m ore exam ples and further clarification,see inform ation sheet(s).

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-21352
1 – 4

Page 2

(D R A FT)

N otA pplicable.

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.

21352026

6

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

Form M I-21352

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 Internal
Revenue 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. N um ber ofother em ployees for pay period including M arch 12 . . . . . . . .

0336

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

0320

M ark "X "
if N one $ Bil.

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

2007
N um ber

2007
M il.

Thou.

1. A nnualpayroll
a. Production,developm ent,and exploration w orkers . . . . . . . . . .

0304

b. A llother em ployees . . . . . . . . . . . . . . . . . . . . . . . . .

0305

c. TO TA L (A dd lines B1a and B1b) . . . . . . . . . . . . . . . . . . .

0300

2. Firstquarter payroll (January-M arch,2007) . . . . . . . . . . . . . . .

0310

M ark "X "
if N one

21352034

C . N um ber ofhours w orked by production,developm ent,and exploration
w orkers (A nnualhours w orked by production,developm ent,and exploration
w orkers reported on line A 1.) . . . . . . . . . . . . . . . . . . . . . . .

CO N TIN U E W ITH

7

2007
H ours
Thou.

0200

O N PA G E 4

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

Form M I-21352
7

Page 4

(D R A FT)

EM PLO YM EN T A N D PA YRO LL -Continued
M ark "X "
if N one $ Bil.

D . Em ployer's costfor fringe benefits -Em ployer's costfor legally required
program s and program s notrequired by law .
1. H ealth insurance -Insurance prem ium s on hospitals,m edicalplans,and
single service plans such as dental,vision,and prescription drug plans.
Include prem ium equivalents for self-insured plans and fees paid to third
party adm inistrators (TPA s).D o notinclude em ployee contributions. . . .

2007
M il.

Thou.

0333

2. Pension plans
a. D efined benefit pension plans -Costs for both qualified and
unqualified defined pension plans.Pension plans thatspecify the
benefitto be paid to em ployees upon retirem ent,generally either
a specific am ountor a percentage ofcom pensation.Em ployer
contributions are based on actuarialcom putations thatinclude the
em ployee's com pensation and years ofservice and are notallocated
to specific accounts m aintained for em ployees. . . . . . . . . . . .

0335

b. D efined contribution plans -Costs under defined contribution
plans.Pension plans thatdefine the em ployer contributions to a
separate accountprovided for each em ployee.The em ployee "benefit"
atretirem entdepends on the am ountcontributed and the results of
the account's activity.Exam ples include profitsharing plans,m oney
purchase (e.g.,401k,403b)and stock bonus plans (e.g.,ESO Ps) . . . .

0337

3. O ther -O ther fringe benefits (e.g.,SocialSecurity,w orkers'
com pensation insurance,unem ploym enttax,state disability insurance
program s,life insurance benefits,M edicare) . . . . . . . . . . . . . . .

0339

4. TO TA L (A dd lines D 1 through D 3) . . . . . . . . . . . . . . . . . . .

0220

8

N otA pplicable.

9

IN VEN TO RIES
(Reportinventories atcostor m arketusing generally accepted accounting practices.)
A . D id this establishm entow n inventories,regardless ofw here held,atthe end of2007 and/or 2006?
0486

Yes -G o to line B

0487

N o -G o to 13

21352042

B . Reportinventories for products
ow ned by this establishm entas of
D ecem ber 31.

M ark "X "
if N one $ Bil.

End of 2007
M il.
Thou.

M ark "X "
if N one $ Bil.

1. Totalinventories before Lastin,First-out (LIFO )adjustm ent
(if any)(A dd lines B1 and B2) . .

0460

0470

2. LIFO reserve (ifany) . . . . . . .

0466

0476

3. Totalinventories after LIFO
adjustm ent value (Line B1
m inus line B2) . . . . . . . . .

0468

0469

End of 2006
M il.
Thou.

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

Form M I-21352

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.
10

IN VEN TO RIES BY VA LU A TIO N M ETH O D
Reporthow m uch ofthe inventory reported in
follow ing valuation m ethods.

9

,line B1 for 2007 is subjectto the
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.

A . LIFO valuation m ethod before adjustm ent . . . . . . . . . . . . . . . . . . 0244
B . A ny valuation m ethod -Specify m ethod

0895

0494

C . TO TA L (A dd lines A and B.Totalshould equal 9 ,line B1.) . . . . . . . . . 0490
11 and 12
13

N otA pplicable.

A SSETS,CA PITA L EX PEN D ITU RES,RETIREM EN TS,A N D D EPRECIA TIO N
(See inform ation sheet(s)on how to reportleasing arrangem ents.)

14

0500

B . Capitalexpenditures for new and used buildings,structures,m achinery,and
equipm entdepreciable assets (Exclude land.) . . . . . . . . . . . . . . . .

0520

C . Totalretirem ents and disposition ofdepreciable assets for the year (G ross
value ofassets sold,retired,scrapped,destroyed,etc.) . . . . . . . . . . .

0510

D . G ross value ofdepreciable assets atthe end ofthe year (A dd lines A and B
m inus C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0505

E. D epreciation charges for the year . . . . . . . . . . . . . . . . . . . . .

0540

REN TA L PA YM EN TS

A . Rentalpaym ents for buildings and other structures (Include land.) . . . . . .

0551

B . Rentalpaym ents for m achinery and equipm ent . . . . . . . . . . . . . . .

0552

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

0550

N otA pplicable.

21352059

15

A . G ross value ofdepreciable assets (acquistion cost)atthe beginning ofthe
year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

C O N TIN U E O N P A G E 6

Form M I-21352
16

Page 6

(D R A FT)

SELECTED EX PEN SES
A . Selected production related costs
M ark "X "
if N one $ Bil.

(Include costs incurred in m ining process such as supplies,resales,contract
w ork,fuels,and electricity.)

2007
M il.

Thou.

1. Costofsupplies used,m inerals received for preparation,purchased
m achinery installed,m aterials,parts,containers,packaging,etc. (Report
detailin 17 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0421
2. Costofproducts boughtand sold as such w ithoutfurther processing
(Reportsales in 22 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . 0426
3. Costofpurchased fuels consum ed for heat,pow er,or the generation of
electricity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0430
4. Costofpurchased electricity (Reportquantity on line B1.) . . . . . . . . . 0425
5. Costofw ork done for you by others on your m aterials . . . . . . . . . . 0424
6. TO TA L (A dd lines A 1 through A 5) . . . . . . . . . . . . . . . . . . . . 0420
2007
M ark "X "
if N one

B . Q uantity ofElectricity

Bil.

Kilow atthours
M il.
Thou.

1. Purchased electricity (Q uantity com parable to costreported on line A 4.) . . 0436
2. G enerated electricity (G ross less generating station use.) . . . . . . . . . 0437
3. Electricity sold or transferred to other establishm ents (Include on lines
B1 or B2.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16

O N PA G E 7

21352067

CO N TIN U E W ITH

0438

C O N TIN U E O N P A G E 7

Form M I-21352

Page 7

(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.
16

SELECTED EX PEN SES -Continued
M ark "X "
if N one $ Bil.

C . O ther operating expenses paid by this establishm ent

2007
M il.

Thou.

1. Tem porary staffand leased em ployee expense -Totalcosts paid to
ProfessionalEm ployer O rganizations (PEO s)and staffing agencies for
personnel.(Include allcharges for payroll,benefits and services.) . . . . . 0176
2. Expensed equipm ent-Expensed com puter hardw are and other equipm ent
(e.g.,copiers,fax m achines,telephones,shop and lab equipm ent,CPU s,
m onitors).(Reportpackaged softw are on line C3.) . . . . . . . . . . . . 0444
3. Expensed purchases ofsoftw are -Purchases ofprepackaged,custom
coded or vendor custom ized softw are.(Include softw are developed or
custom ized by others,w eb-design services and purchases,licensing
agreem ents,upgrades ofsoftw are;and m aintenance fees related to
softw are upgrades and alterations.) . . . . . . . . . . . . . . . . . . . 0188
4. D ata processing and other purchased com puter services (Include
com puter facilities m anagem entservices,com puter inputpreparation,
data storage,com puter tim e rental,opticalscanning services,and
other com puter-related advice and services,including training.Exclude
expensed integrated system s,repair and m aintenance ofcom puter
equipm ent,payrollprocessing and creditcard transaction fees,and
expenses for telecom m unication services (e.g.,Internet,connectivity,
telephone.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0198
5. Purchased com m unication services -Telephone,cellular,and fax services;
com puter-related com m unications (e.g.,Internet,connectivity,online)and
other w ired and w ireless com m unication services . . . . . . . . . . . . 0402
6. Purchased repairs and m aintenance to buildings and/or m achinery and
equipm ent(Exclude m aterials,parts,and supplies used for repairs and
m aintenance perform ed by this firm 's em ployees.) . . . . . . . . . . . . 0394
7. W ater,sew er,refuse rem oval,and other utility paym ents (Include the
costs ofhazardous w aste rem oval.) . . . . . . . . . . . . . . . . . . . 0407
8. Purchased advertising and prom otionalservices (Include m arketing and
public relations services.) . . . . . . . . . . . . . . . . . . . . . . . . 0405

9. Purchased professionaland technicalservices (Include m anagem ent
consulting,accounting,auditing,bookkeeping,legal,actuarial,payroll
processing,architectural,engineering,and other professionalservices.
Exclude salaries paid to your ow n em ployees for these services.) . . . . . 0216

21352075

10. G overnm entaltaxes and license fees -Paym ents to governm entagencies
for taxes and licenses.(Include business and property taxes.Exclude
incom e taxes.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0396
11. A llother operating expenses -A llother operating expenses notreported
elsew here.(Exclude purchases ofm erchandise for resale and nonoperating
expenses.)-Specify

0897

0397

12. TO TA L (A dd lines C1 through C11) . . . . . . . . . . . . . . . . . . . 0449

C O N TIN U E O N P A G E 8

Form M I-21352
17

Page 8

(D R A FT)

D ETA ILED CO ST O F M A TERIA LS,PA RTS,A N D SU PPLIES
R eport:
D elivered costofindividualitem s listed below .D elivered costis the am ountpaid or payable after discounts and
including freightand other directcharges incurred by the establishm entin acquiring the m aterials.The figures reported
should representthe totalpurchase costofsupplies,m inerals received for preparation,m achinery installed,etc.,
actually used or processed during 2007.Include purchases,interplanttransfers,and w ithdraw als from inventories.Ifthe
data are notavailable from your records,reasonable estim ates are acceptable.
Include:
Item s listed below w hether charged to currentor capitalaccounts.
Costofitem s for w hich less than $25,000 w orth w as used in "A llother supplies," line 6.
Supplies purchased by this establishm entfor use by com panies perform ing subcontractw ork for this establishm ent.
Exclude:
A ssociated labor costs ofthe kind reported in

7

and

16 ,line

A 5.

Line No.

Paym ents m ade for subcontractservices perform ed,including paym ents for supplies and equipm entfurnished by the
contractor incidentalto this w ork.
Purchased from others
or received from other
establishm ents of this
com pany

Census m aterial
code
Cost,including delivery cost
(freight-in)

M achinery installed and supplies used

$ Bil.
0634

0630

M il.

Thou.

0631

1

M achinery,purchased and installed (including m obile loading,
transportation,and other equipm entinstalled atthe operation)(Including
charges to both currentand capitalaccounts.) . . . . . . . . . . . . . . .

333000 07

2

Parts and attachm ents for m ining,m ineralpreparation,construction,and
conveying m achinery and equipm ent . . . . . . . . . . . . . . . . . . .

333000 09

Supplies used
3

A m m onium nitrate . . . . . . . . . . . . . . . . . . . . . . . . . .

325920 05

4

Explosive m aterials (excluding am m onium nitrate)and blasting
accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

325920 15

5

Steelshapes and form s (excluding castings and forgings)such as plates,
sheets,strip,piling,bars,rails,w heels,track accessories,pipe,tubing,
w ire,w ire products,and structuralshapes . . . . . . . . . . . . . . .

331000 52

A llother supplies (Specify the three principaltypes ofsupplies included
here.)
009700 98

7

TO TA L (Should equaltotalreported in
18

16 ,line

A 1) . . . . . . . . . . . . .

771000 00

FU ELS U SED
2007 consum ption

Line No.

21352083

6

Kind of fuel(Report totaldelivered cost,not cost per unit. Fuels
received from other establishm ents of your com pany should be
included at estim ated m arket value.)

U nit of
Census fuelcode m easure for
quantities

Q uantity

Cost,including
delivery cost
(freight-in)
$ M il.

0643

1

0640

Coal(bitum inous,subbitum inous,lignite,and anthracite) .
CO N TIN U E W ITH

212110 03
18

0645

0642

Thou.

0641

short tons

O N PA G E 9
C O N TIN U E O N P A G E 9

Form M I-21352

Page 9

(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.
18

FU ELS U SED -Continued

Line No.

2007 consum ption
Kind of fuel(Report totaldelivered cost,not cost per unit. Fuels
received from other establishm ents of your com pany should be
included at estim ated m arket value.)

U nit of
Census fuelcode m easure for
quantities

Cost,including
delivery cost
(freight-in)

Q uantity

$ M il.
0643

0640

0645

2

Fueloil
D istillate (light)grade num bers 1,2,4,and lightdiesel
fuel . . . . . . . . . . . . . . . . . . . . . . . . .

324110 17

3

Residual(heavy)grade num bers 5 and 6 and heavy
dieselfuel . . . . . . . . . . . . . . . . . . . . .

324110 19

4

G as (natural,m anufactured,and m ixed) . . . . . . . . .

211110 15

m ilft3

5

G asoline . . . . . . . . . . . . . . . . . . . . . . . .

324110 15

1000 gal

0642

Thou.

0641

barrels

O ther fuels (liquefied petroleum gas,coke,w ood,and
other)(Specify.)
6

009600 18

7

TO TA L (Should equaltotalreported in
19

15 ,line

A 3) . . . .

007720 00

TYPE O F O PERA TIO N
(Include production,developm ent,and exploration operations.)
(M ark "X " the O N E box for w hich you received the largestreceipts.)
P rincipalm ineralactivity of establishm ents served

0600

452

M etalm ining

454

Coalm ining

456

M ining ofnonm etallic m inerals,exceptfuels

458

Crude petroleum ,naturalgas,and naturalgas liquids

20 and 21
22

N otA pplicable.

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

21352091

Include:
Separately,totalam ounts received or due for alltypes ofm ineralservices perform ed for others during 2007.
Receipts for supplies and equipm entfurnished by you incidentalto the contractw ork.
Coalor other m inerals m ined during the year for the accountofothers,butnotdelivered during 2007.
W ork done in 2007,butnotbilled in 2007.
The estim ated m arketvalue ofservices rendered,ifpaym entfor w ork w as notm ade in cash.
Exclude receipts for w ork perform ed prior to 2007.

CO N TIN U E W ITH

22

O N PA G E 10

C O N TIN U E O N P A G E 10

Form M I-21352
Line No.

22

Page 10

(D R A FT)

D ETA IL O F SA LES,SH IPM EN TS,RECEIPTS,O R REVEN U E -Continued
Census product Value,of receipts,f.o.b.plant
code
$ Bil.
M il.
Thou.

Products and services
0734

0730

0731

M etalm ining services
1

Prospectand testdrilling

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

213114 0431

2

Exploration w ork (excluding prospectand testdrilling and geophysical
surveying services) . . . . . . . . . . . . . . . . . . . . . . . . . .

213114 0111

3

Sinking m etalm ine shafts and driving m etalm ine tunnels

. . . . . . .

213114 0441

4

O pen-pitm ining ofm etalores notfor your ow n account . . . . . . . .

213114 0221

O ther m etalm ining services (including stripping overburden)(Specify
kind.)

5

213114 0493

Coalm ining services
6

Prospectand testdrilling

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

213113 0431

7

Sinking coalm ine shafts and driving coalm ine tunnels services . . . . .

213113 0461

O ther coalm ining services (including strip,auger or underground
m ining notfor ow n account,drilling,overburden stripping,and
recovering culm bank)(Specify kind.)

8

213113 0471

N onm etallic m inerals (excluding fuels)services
9

Prospectand testdrilling

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

213115 0331

10

O pen-pitor quarry m ining m inerals notfor your ow n account . . . . . .

213115 0111

O ther nonm etallic services (including overburden stripping,drilling
services,and blasting)(Specify kind.)

11

213115 0351

A llother oiland gas field supportactivities (Specify kind.)

21352109

12
13

213112 3595

H auling m inerals and m ine equipm entbeyond m ine property

. . . . . . .

999830 1000

M iscellaneous receipts
O ther m iscellaneous receipts (including receipts for repair w ork,etc.)

14

999809 8000

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

15
CO N TIN U E W ITH

22

O N PA G E 11
C O N TIN U E O N P A G E 11

Form M I-21352

Page 11

(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.

Line No.

22

D ETA IL O F SA LES,SH IPM EN TS,RECEIPTS,O R REVEN U E -Continued
Census product Value,of receipts,f.o.b.plant
code
$ Bil.
M il.
Thou.

Products and services
0734

0730

0731

26

16
34

17

18

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

19

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

770000 0000

23 – 27
28

N otA pplicable.

LO CA TIO N S O F O PERA TIO N
A . Com plete the Pre-identified Locations ofO peration supplem ent(See attached pages for 28 A .)
B . Com plete the A dditionalLocations ofO peration supplem ent(See attached pages for 28 B.)
C . N um ber oflocations
Include:
• A lllocations in operation or tem porarily inactive in
• A lllocations added in

28 A .

28 B.

Exclude:

2007
N um ber

M ark "X "
if N one

• A lllocations thathave ceased operation or w ere sold.
Totalnum ber oflocations currently in operation . . . . . . . . . . . . . . . . . . 6070
29

N otA pplicable.

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.

21352117

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