Form OINV-Original-Prod US Producer Questionnaire (Original Investigation)

OMB No. 3117-0016/USITC No. xx-x-xxx; Expiration Date: 6/30/08

(No response is required if currently valid OMB control number is not displayed)

U.S. PRODUCERS’ QUESTIONNAIRE

PRODUCT FROM COUNTRY

This questionnaire must be received by the Commission by no later than INSERT DATE

See page 4 of the Instruction Booklet for filing instructions.

The information called for in this questionnaire is for use by the United States International Trade Commission in connection with its countervailing duty/antidumping investigation concerning PRODUCT from COUNTRY (Inv. No. 701/731-TA-xxx (Preliminary/Final)). The information requested in the questionnaire is requested under the authority of the Tariff Act of 1930, title VII. This report is mandatory and failure to reply as directed can result in a subpoena or other order to compel the submission of records or information in your possession (19 U.S.C. § 1333(a)).

Name of firm      

Address      

City       State    Zip Code      

World Wide Web address      

Has your firm produced PRODUCT (as defined in the instruction booklet) at any time since January 1, 2004?

NO (Sign the certification below and promptly return only this page of the questionnaire to the Commission)

YES (Read the instruction booklet carefully, complete all parts of the questionnaire, and return the entire

questionnaire to the Commission so as to be received by the date indicated above)

CERTIFICATION

I certify that the information herein supplied in response to this questionnaire is complete and correct to the best of my knowledge and belief and understand that the information submitted is subject to audit and verification by the Commission.

By means of this certification I also grant consent for the Commission, and its employees and contract personnel, to use the information provided in this questionnaire and throughout this investigation in any other import-injury investigations conducted by the Commission on the same or similar merchandise.

I acknowledge that information submitted in this questionnaire response and throughout this investigation may be used by the Commission, its employees, and contract personnel who are acting in the capacity of Commission employees, for developing or maintaining the records of this investigation or related proceedings for which this information is submitted, or in internal audits and investigations relating to the programs and operations of the Commission pursuant to 5 U.S.C. Appendix 3. I understand that all contract personnel will sign non-disclosure agreements.

                 

Name of Authorized Official Title of Authorized Official Date

      Phone: (   )           

Signature Fax (   )      E-mail address

The questions in this questionnaire have been reviewed with market participants to ensure that issues of concern are adequately addressed and that data requests are sufficient, meaningful, and as limited as possible. Public reporting burden for this questionnaire is estimated to average 50 hours per response, including the time for reviewing instructions, searching existing data sources, gathering the data needed, and completing and reviewing the questionnaire. Send comments regarding the accuracy of this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Office of Investigations, U.S. International Trade Commission, 500 E Street, SW, Washington, DC 20436.

I-1a. Please report below the actual number of hours required and the cost to your firm of preparing the reply to this questionnaire and completing the form.

      hours       dollars

I-1b. We are interested in any comments you may have for improving this questionnaire in general or the clarity of specific questions. Please attach such comments to your response or send them to the above address.

I-2. Provide the name and address of establishment(s) covered by this questionnaire (see page 3 of the instruction booklet for reporting guidelines). If your firm is publicly traded, please specify the stock exchange and trading symbol.

     

I-3. Do you support or oppose the petition?

Support Oppose Take no position

     

I-4. Is your firm owned, in whole or in part, by any other firm?

No Yes--List the following information

Firm name	Address	Extent of ownership
     	     	     
     	     	     
     	     	     

I-5. Does your firm have any related firms, either domestic or foreign, which are engaged in importing PRODUCT from COUNTRY into the United States or which are engaged in exporting PRODUCT from COUNTRY to the United States?

No Yes--List the following information

Firm name	Address	Affiliation
     	     	     
     	     	     
     	     	     

I-6. Does your firm have any related firms, either domestic or foreign, which are engaged in the production of PRODUCT?

No Yes--List the following information

Firm name	Address	Affiliation
     	     	     
     	     	     
     	     	     

Further information on this part of the questionnaire can be obtained from INVESTIGATOR (202-xxx-xxxx, [email protected]). Supply all data requested on a calendar-year basis.

II-1. Who should be contacted regarding the requested trade and related information?

Company contact:      

Name and title

(   )            

Phone number E-mail address

II-2. Has your firm experienced any plant openings, relocations, expansions, acquisitions, consolidations, closures, or prolonged shutdowns because of strikes or equipment failure; curtailment of production because of shortages of materials; or any other change in the character of your operations or organization relating to the production of PRODUCT since January 1, 2004?

No Yes--Supply details as to the time, nature, and significance of such changes.

     

II-3. Does your firm produce other products on the same equipment and machinery used in the production of PRODUCT?

No Yes--List the following information.

Basis for allocation of capacity data (e.g., sales):      

Products produced on same equipment and share of total production in 2006 (in percent):

Product	Percent
PRODUCT	     
     	     
     	     
     	     
     	     
     	     

II-4. Please describe the constraint(s) that set the limit(s) on your production capacity and your ability to shift production capacity between products.

     

II-5. Does your firm produce other products using the same production and related workers employed to produce PRODUCT?

No Yes--List the following information.

Basis for allocation of capacity data (e.g., sales):      

Products produced using the same workers and share of total production in 2006 (in percent):

Product	Percent
PRODUCT	     
     	     
     	     
     	     
     	     
     	     

II-6. Since January 1, 2004, has your firm been involved in a toll agreement (see definition in the instruction booklet) regarding the production of PRODUCT?

No Yes--Name firm(s):       .

II-7. Does your firm produce PRODUCT in a foreign trade zone (FTZ)?

No Yes--Identify FTZ(s):       .

II-8. Since January 1, 2004, has your firm imported PRODUCT?

No Yes--COMPLETE AND RETURN A U.S. IMPORTERS’ QUESTIONNAIRE

II-9. Report your firm’s production capacity, production, shipments, inventories, and employment related to the production of PRODUCT in your U.S. establishment(s) during the specified periods. (See definitions in the instruction booklet.)

Quantity (in SPECIFY) and value (in $1,000)
Item	Calendar years			January-March
	2004	2005	2006	2006	2007
Average production capacity1 (quantity)	     	     	     	     	     
Beginning-of-period inventories (quantity)	     	     	     	     	     
Production (quantity)	     	     	     	     	     
U.S. shipments:
Commercial shipments:
Quantity of commercial shipments	     	     	     	     	     
Value of commercial shipments	     	     	     	     	     
Internal consumption:
Quantity of internal consumption	     	     	     	     	     
Value2 of internal consumption	     	     	     	     	     
Transfers to related firms:
Quantity of transfers	     	     	     	     	     
Value2 of transfers	     	     	     	     	     
Export shipments:3
Quantity of export shipments	     	     	     	     	     
Value of export shipments	     	     	     	     	     
End-of-period inventories4 (quantity)	     	     	     	     	     
Channels of distribution:
U.S. shipments to distributors (quantity)	     	     	     	     	     
U.S. shipments to end users (quantity)	     	     	     	     	     
Employment data:
Average number of PRWs (number)	     	     	     	     	     
Hours worked by PRWs (1,000 hours)	     	     	     	     	     
Wages paid to PRWs (value)	     	     	     	     	     
1 The production capacity (see definitions in instruction booklet) reported is based on operating       hours per week,       weeks per year. Please describe the methodology used to calculate production capacity, and explain any changes in reported capacity (use additional pages as necessary).       2 Internal consumption and transfers to related firms must be valued at fair market value. In the event that you use a different basis for valuing these transactions, please specify that basis (e.g., cost, cost plus, etc.) and provide value data using that basis for 2004, 2005, and 2006 below:       3 Identify your principal export markets:       . 4 Reconciliation of data.--Please note that the quantities reported above should reconcile as follows: beginning-of-period inventories, plus production, less total shipments, equals end-of-period inventories. Do the data reported reconcile? Yes No--Please explain:       .

II-10. If you reported transfers to related firms in question II-9, please indicate the nature of the relationship between your firm and the related firms (e.g., joint venture, wholly owned subsidiary), whether the transfers were priced at market value or by a non-market formula, whether your firm retained marketing rights to all transfers, and whether the related firms also processed inputs from sources other than your firm.

     

II-11. Other than direct imports, has your firm otherwise purchased PRODUCT since January 1, 2004? (See definitions in the instruction booklet.)

No Yes--Report such purchases below for the specified periods.¹

(Quantity in SPECIFY, value in $1,000)
Item	Calendar years			January-March
	2004	2005	2006	2006	2007
PURCHASES FROM U.S. IMPORTERS2 OF PRODUCT FROM--
COUNTRY:
Quantity	     	     	     	     	     
Value	     	     	     	     	     
All other countries:
Quantity	     	     	     	     	     
Value	     	     	     	     	     
PURCHASES FROM DOMESTIC PRODUCERS:2
Quantity	     	     	     	     	     
Value	     	     	     	     	     
PURCHASES FROM OTHER SOURCES:2
Quantity	     	     	     	     	     
Value	     	     	     	     	     
1 Please indicate your reasons for purchasing this product. If your reasons differ by source, please elaborate.       2 Please list the name of the firm(s) from which you purchased this product. If your suppliers differ by source, please identify the source for each listed supplier.      

Address questions on this part of the questionnaire to AUDITOR (202-xxx-xxxx, [email protected]).

III-1. Who should be contacted regarding the requested financial information?

Company contact:      

Name and title

(   )            

Phone number E-mail address

III-2. Briefly describe your financial accounting system.

A. When does your fiscal year end (month and day)?      

If your fiscal year changed during the period examined, explain below:

     

B.1. Describe the lowest level of operations (e.g., plant, division, company-wide) for which financial statements are prepared that include subject merchandise:

     

2. Does your firm prepare profit/loss statements for the subject merchandise:

Yes No

3. How often did your firm (or parent company) prepare financial statements (including annual reports, 10Ks)? Please check relevant items below.

Audited, unaudited, annual reports, 10Ks, 10 Qs,

Monthly, quarterly, semi-annually, annually

4. Accounting basis: GAAP, cash, tax, or other comprehensive (specify)      

Note: The Commission may request that your company submit copies of its financial statements, including internal profit-and-loss statements for the division or product group that includes PRODUCT, as well as those statements and worksheets used to compile data for your firm’s questionnaire response.

III-3. Briefly describe your cost accounting system (e.g., standard cost, job order cost, etc.).

     

III-4. Briefly describe your allocation basis, if any, for COGS, SG&A, and interest expense and other income and expenses.

     

III-5. Other products.--Please list any other products you produced in the facilities in which you produced PRODUCT, and provide the share of net sales accounted for by these other products in your most recent fiscal year:

Products	Share of sales
     	     
     	     
     	     
     	     
     	     

III-6. Does your firm receive inputs (raw materials, labor, energy, or any other services) used in the production of PRODUCT from any related firm?

Yes—Continue to question III-7 below. No--Continue to question III-10 below.

III-7. In the space provided below, identify the inputs related to the production of PRODUCT that your firm receives from related parties whose financial statements are consolidated with the financial statements of your firm.

Input	Related party
     	     
     	     
     	     
     	     
     	     

III-8. With respect to the related companies identified in response to question III-7 above, are their financial statements consolidated with your firm’s financial statements? (In other words, are profits or losses arising from intercompany transactions eliminated?

Yes—Continue to question III-9 below. No--Continue to question III-10 below.

III-9. All intercompany profit on inputs purchased from related parties that is eliminated pursuant to formal financial statement consolidation should also be eliminated from the costs reported to the Commission in question III-11 (i.e., costs reported in question III-11, to the extent that they reflect inputs purchased from related parties, should only reflect the related party’s cost and not include an associated profit component). Reasonable methods for determining and eliminating the associated profit on inputs purchased from related parties are acceptable.

Has your firm complied with the Commission’s instructions regarding costs associated with inputs purchased from related parties?

Yes No—Please contact AUDITOR (202-xxx-xxxx, [email protected]).

III-10. Nonrecurring charges.--For each annual and interim period for which financial results are reported in question III-11, please indicate in the schedule below the specific nonrecurring charges, the particular expense/cost line items from question III-11 where the associated charges are included, a brief description of the charges, and the associated values (in $1,000). Nonrecurring charges would include, but are not limited to, items such as asset write-offs and accelerated depreciation due to restructuring of the company’s PRODUCT operations.

Item	Fiscal years ended--			January-March
	     	     	     	2006	2007
Non-recurring charges: (In this column please provide a brief description of each nonrecurring charge and indicate the particular expense/cost line items where the associated charges are included in question III-11.)
1.      	     	     	     	     	     
2.      	     	     	     	     	     
3.      	     	     	     	     	     
4.      	     	     	     	     	     
5.      	     	     	     	     	     
6.      	     	     	     	     	     
7.      	     	     	     	     	     

III-11. Operations on PRODUCT.--Report the revenue and related cost information requested below on the PRODUCT operations of your U.S. establishment(s).¹ Do not report resales of products. Note that internal consumption and transfers to related firms must be valued at fair market value and purchases from related firms must be at cost.² Provide data for your three most recently completed fiscal years in chronological order from left to right, and for the specified interim periods. If your firm was involved in tolling operations (either as the toller or as the tollee) please contact AUDITOR at (202) XXX-XXXX before completing this section of the questionnaire.

Quantity (in SPECIFY) and value (in $1,000)
Item	Fiscal years ended--			January-March
	     	     	     	2006	2007
Net sales quantities:3
Commercial sales	     	     	     	     	     
Internal consumption	     	     	     	     	     
Transfers to related firms	     	     	     	     	     
Total net sales quantities	     	     	     	     	     
Net sales values:3
Commercial sales	     	     	     	     	     
Internal consumption	     	     	     	     	     
Transfers to related firms	     	     	     	     	     
Total net sales values	     	     	     	     	     
Cost of goods sold (COGS):4
Raw materials	     	     	     	     	     
Direct labor	     	     	     	     	     
Other factory costs	     	     	     	     	     
Total COGS	     	     	     	     	     
Gross profit or (loss)	     	     	     	     	     
Selling, general, and administrative (SG&A) expenses:
Selling expenses	     	     	     	     	     
General and administrative expenses	     	     	     	     	     
Total SG&A expenses	     	     	     	     	     
Operating income (loss)	     	     	     	     	     
Other income and expenses:
Interest expense	     	     	     	     	     
All other expense items	     	     	     	     	     
All other income items	     	     	     	     	     
All other income or expenses, net	     	     	     	     	     
Net income or (loss) before income taxes	     	     	     	     	     
Depreciation/amortization included above	     	     	     	     	     
1 Include only sales (whether domestic or export) and costs related to your U.S. manufacturing operations. 2 Please list the expense categories and amounts of any profits on internal inputs or inputs from related firms that are reflected on your books but which are eliminated from the costs reported below. 3 Less discounts, returns, allowances, and prepaid freight. The quantities and values should approximate the corresponding shipment quantities and values reported in Part II of this questionnaire. 4 COGS should include costs associated with internal consumption and transfers to related firms.

III-12. Asset values.--Report the total assets associated with the production, warehousing, and sale of PRODUCT. If your firm does not maintain some or all of the specific asset data in the normal course of business, please estimate it based upon some rational method (such as production, sales, or costs) that is consistent with your cost allocations in the previous question. Your finished goods inventory value should reconcile with the inventory quantity data reported in Part II. Provide data as of the end of your three most recently completed fiscal years in chronological order from left to right, and as of the end of the specified interim periods.

Value (in $1,000)
Item	Fiscal years ended--			January-March
	     	     	     	2006	2007
Assets associated with the production, warehousing, and sale of product:	     	     	     	     	     
1. Current assets:	     	     	     	     	     
A. Cash and equivalents	     	     	     	     	     
B. Accounts receivable, net	     	     	     	     	     
C. Inventories (finished goods)	     	     	     	     	     
D. Inventories (raw materials and work in process)	     	     	     	     	     
E. Other (describe:       )	     	     	     	     	     
F. Total current assets (lines 1.A. through 1.E.)	     	     	     	     	     
2. Property, plant, and equipment	     	     	     	     	     
A. Original cost of property, plant, and equipment	     	     	     	     	     
B. Less: Accumulated depreciation	     	     	     	     	     
C. Equals: Book value of property, plant, and equipment	     	     	     	     	     
3. Other (describe:      )	     	     	     	     	     
4. Other (describe:      )	     	     	     	     	     
5. Total assets (lines 1.F., 2.C., 3 and 4)	     	     	     	     	     

III-13. Capital expenditures and research and development expenditures.--Report your firm’s capital expenditures and research and development expenditures on PRODUCT. Provide data for your three most recently completed fiscal years in chronological order from left to right, and for the specified interim periods.

Value (in $1,000)
Item	Fiscal years ended--			January-March
	     	     	     	2006	2007
Capital expenditures	     	     	     	     	     
Research and development expenditures	     	     	     	     	     

III-14. Since January 1, 2004, has your firm experienced any actual negative effects on its return on investment or its growth, investment, ability to raise capital, existing development and production efforts (including efforts to develop a derivative or more advanced version of the product), or the scale of capital investments as a result of imports of PRODUCT from COUNTRY?

No Yes--My firm has experienced actual negative effects as follows:

Cancellation, postponement, or rejection of expansion projects

Denial or rejection of investment proposal

Reduction in the size of capital investments

Rejection of bank loans

Lowering of credit rating

Problem related to the issue of stocks or bonds

Other (specify)      

III-15. Does your firm anticipate any negative impact of imports of PRODUCT from COUNTRY?

     

Further information on this part of the questionnaire can be obtained from ECONOMIST (202-xxx-xxxx, [email protected])

IV-1. Who should be contacted regarding the requested pricing and related information?

Company contact:      

Name and title

(   )            

Phone number E-mail address

PRICE DATA

This section requests quarterly quantity and value data on your firm’s U.S. shipments of the following products during January 2004-March 2007.

Product 1.--DEFINE

Product 2.--DEFINE

Product 3.--DEFINE

Product 4.--DEFINE

Please note that total dollar values should be f.o.b., U.S. point of shipment and should not include U.S.-inland transportation costs. Total dollar values should reflect the final net amount paid to you (i.e., should be net of all deductions for discounts or rebates). See instruction booklet.

IV-2a. Report below the quarterly price data¹ for pricing products² produced and sold by your firm.

(Quantity in SPECIFY, value in dollars)
Period of shipment	Product 1		Product 2
	Quantity	Value	Quantity	Value
2004
January-March	     	     	     	     
April-June	     	     	     	     
July-September	     	     	     	     
October-December	     	     	     	     
2005
January-March	     	     	     	     
April-June	     	     	     	     
July-September	     	     	     	     
October-December	     	     	     	     
2006
January-March	     	     	     	     
April-June	     	     	     	     
July-September	     	     	     	     
October-December	     	     	     	     
2007
January-March	     	     	     	     
1 Net values (i.e., gross sales values less all discounts, allowances, rebates, prepaid freight, and the value of returned goods), f.o.b. your U.S. point of shipment. 2 Pricing product definitions are provided on the first page of Part IV. Note.--If your product does not exactly meet the product specifications but is competitive with the specified product, provide a description of your product: Product 1:       Product 2:      

IV-2b. Report below the quarterly price data¹ for pricing products² produced and sold by your firm.

(Quantity in SPECIFY, value in dollars)
Period of shipment	Product 3		Product 4
	Quantity	Value	Quantity	Value
2004
January-March	     	     	     	     
April-June	     	     	     	     
July-September	     	     	     	     
October-December	     	     	     	     
2005
January-March	     	     	     	     
April-June	     	     	     	     
July-September	     	     	     	     
October-December	     	     	     	     
2006
January-March	     	     	     	     
April-June	     	     	     	     
July-September	     	     	     	     
October-December	     	     	     	     
2007
January-March	     	     	     	     
1 Net values (i.e., gross sales values less all discounts, allowances, rebates, prepaid freight, and the value of returned goods), f.o.b. your U.S. point of shipment. 2 Pricing product definitions are provided on the first page of Part IV. Note.--If your product does not exactly meet the product specifications but is competitive with the specified product, provide a description of your product: Product 3:       Product 4:      

IV-3. Please describe how your firm determines the prices that it charges for sales of PRODUCT (transaction by transaction negotiation, contracts for multiple shipments, set price lists, etc.). If your firm issues price lists, please include a copy of a recent price list with your submission. If your price list is large, please submit sample pages.

     

IV-4. Please describe your firm’s discount policy (quantity discounts, annual total volume discounts, etc.).

     

IV-5. What are your firm’s typical sales terms for its U.S.-produced PRODUCT (e.g., 2/10 net 30 days)?       . On what basis are your prices of domestic PRODUCT usually quoted (e.g., f.o.b. warehouse, or delivered)?       .

IV-6. Approximately what share of your firm’s sales of its U.S.-produced PRODUCT in 2006 were on a (1) long-term contract basis (multiple deliveries for more than 12 months), (2) short-term contract basis (multiple deliveries up to 12 months), and (3) spot sales basis (for a single delivery)?

Type of sale	Share of sales (percent)
Long-term contracts	     
Short-term contracts	     
Spot sales	     

IV-7. If you sell on a long-term contract basis, please answer the following questions with respect to provisions of a typical long-term contract.

(a) What is the average duration of a contract?      

(b) Can prices be renegotiated during the contract period?      

(c) Does the contract fix quantity, price, or both?      

(d) Does the contract have a meet or release provision?      

IV-8. If you sell on a short-term contract basis, please answer the following questions with respect to provisions of a typical short-term contract.

(a) What is the average duration of a contract?      

(b) Can prices be renegotiated during the contract period?      

(c) Does the contract fix quantity, price, or both?      

(d) Does the contract have a meet or release provision?      

IV-9. What is the average lead time between a customer’s order and the date of delivery for your firm’s sales of your U.S.-produced PRODUCT?

Source	Share of sales, 2006	Lead time
From inventory	     	     
Produced to order	     	     
Total	100 %	     

IV-10. (a) What is the approximate percentage of the total delivered cost of PRODUCT that is accounted for by U.S. inland transportation costs?       percent.

(b) Who generally arranges the transportation to your customers’ locations? (check one) Your firm or purchaser

(c) What proportion of your sales occur within 100 miles of your storage or production facility?       percent. Within 101 to 1,000 miles?       percent. Over 1,000 miles?       percent.

IV-11. What is the geographic market area in the United States served by your firm’s PRODUCT? (check all that apply)

Northeast Mid-Atlantic Midwest Southeast

Southwest Rocky Mountains West Coast Northwest

National Other (describe:       )

IV-12. Describe the end uses of the PRODUCT that you manufacture. For each end-use product, what percentage of the total cost is accounted for by PRODUCT?

End use	Share of total cost (percent)
     	     
     	     
     	     
     	     

IV-13. (a) Can other products be substituted for PRODUCT?

No Yes--Please list these substitute products in order of importance.

(i)      

(ii)      

(iii)      

(b) For each possible substitute product, please give examples of applications and end uses for which they are substitutes.

     

(c) Have changes in the prices of these products affected the price for PRODUCT?

No Yes--To what degree do changes in their prices affect the price for PRODUCT? Does this effect have a time lag? If so, how long is the time lag for each substitute product? Does this vary by type of PRODUCT or final end use?

     

IV-14. How has the demand within the United States (and outside the United States if known) for PRODUCT changed since January 1, 2004? What principal factors affect changes in demand?

Increased No change Decreased

     

IV-15. Have there been any significant changes in the product range or marketing of PRODUCT since January 1, 2004?

No Yes-- Please describe.

     

IV-16. Does your firm sell PRODUCT over the internet?

No Yes-- Please describe, noting the estimated percentage of your firm’s total sales of PRODUCT in 2006 accounted for by internet sales.

     

IV-17. Is PRODUCT produced in the United States and in other countries interchangeable (i.e., can they physically be used in the same applications)? Please indicate below, using “A” to indicate that the products from a specified country-pair are always interchangeable, “F” to indicate that the products are frequently interchangeable, “S” to indicate that the products are sometimes interchangeable, “N” to indicate that the products are never interchangeable, and “0” to indicate no familiarity with products from a specified country-pair.¹

Country-pair	United States	COUNTRY 1	COUNTRY 2	COUNTRY 3	Other countries
United States		 	 	 	 
COUNTRY 1			 	 	 
COUNTRY 2				 	 
COUNTRY 3					 
1 For any country-pair producing PRODUCT which is sometimes or never interchangeable, please explain the factors that limit or preclude interchangeable use:      

IV-18. Are differences other than price (i.e., quality, availability, transportation network, product range, technical support, etc.) between PRODUCT produced in the United States and in other countries a significant factor in your firm’s sales of the products? Please indicate below, using “A” to indicate that such differences are always significant, “F” to indicate that such differences are frequently significant, “S” to indicate that such differences are sometimes significant, “N” to indicate that such differences are never significant, and “0” to indicate no familiarity with products from a specified country-pair.¹

Country-pair	United States	COUNTRY 1	COUNTRY 2	COUNTRY 3	Other countries
United States		 	 	 	 
COUNTRY 1			 	 	 
COUNTRY 2				 	 
COUNTRY 3					 
1 For any country-pair for which factors other than price always or frequently are a significant factor in your firm’s sales of PRODUCT, identify the country-pair and report the advantages or disadvantages imparted by such factors:      

IV-19. Please identify below the names and addresses of your firm’s 10 largest customers for PRODUCT during 2004-2006. Please also provide the name and telephone number of a contact person and the share of the quantity of your firm’s total shipments of PRODUCT that each of these customers accounted for in 2006.

No.	Customer’s name	Street address (not P.O. box), city, state, and zip code	Contact person	Area code and telephone number	Share of 2006 sales (%)
1	     	     	     	     	     
2	     	     	     	     	     
3	     	     	     	     	     
4	     	     	     	     	     
5	     	     	     	     	     
6	     	     	     	     	     
7	     	     	     	     	     
8	     	     	     	     	     
9	     	     	     	     	     
10	     	     	     	     	     

IV-20. COMPETITION FROM IMPORTS--LOST REVENUES.-- Instructions for preliminary phase: THIS SECTION IS TO BE COMPLETED ONLY BY NON-PETITIONERS. (Note: petitioners may provide allegations involving quotes made AFTER the filing of the petition.) OR Instructions for final phase: PLEASE DO NOT RE-SUBMIT ALLEGATIONS PROVIDED IN THE PRELIMINARY PHASE OF THIS INVESTIGATION.

Since January 1, 2004: To avoid losing sales to competitors selling PRODUCT from COUNTRY, did your firm:

Reduce prices No Yes

Roll back announced price increases No Yes

If yes, please furnish as much of the following information as possible for each affected transaction. Document such allegations of lost revenues whenever possible (documentation could include copies of invoices, sales reports, or letters from customers). Please note that the Commission may contact the firms named to verify the allegations reported.

Customer name, contact person, phone and fax numbers

Specific product(s) involved

Date of your initial price quotation

Quantity involved

Your initial rejected price quotation (total delivered value)

Your accepted price quotation (total delivered value)

The country of origin of the competing imported product

The competing price quotation of the imported product (total delivered value)

Customer name, contact person, phone and fax numbers	Product	Date of quote	Quantity (SPECIFY)	Initial rejected U.S. price (total value--dollars)	Appected U.S. price (total value--dollars)	Country of origin	Competing import price (total value—dollars)
     	     	     	     	     	     	     	     
     	     	     	     	     	     	     	     
     	     	     	     	     	     	     	     
     	     	     	     	     	     	     	     

IV-21. COMPETITION FROM IMPORTS--LOST SALES.-- Instructions for preliminary phase: THIS SECTION IS TO BE COMPLETED ONLY BY NON-PETITIONERS. (Note: petitioners may provide allegations involving quotes made AFTER the filing of the petition.) Or instructions for final phase of the investigation: PLEASE DO NOT RE-SUBMIT ALLEGATIONS PROVIDED IN THE PRELIMINARY PHASE OF THIS INVESTIGATION.

Since January 1, 2004: Did your firm lose sales of PRODUCT to imports of these products from COUNTRY?

No Yes

If yes, please furnish as much of the following information as possible for each affected transaction. Document such allegations of lost sales whenever possible (documentation could include copies of invoices, sales reports, or letters from customers). Please note that the Commission may contact the firms named to verify the allegations reported.

Customer name, contact person, phone and fax numbers

Specific product(s) involved

Date of your price quotation

Quantity involved

Your rejected price quotation (total delivered value)

The country of origin of the competing imported product

The accepted price quotation of the imported product (total delivered value)

Customer name, contact person, phone and fax numbers	Product	Date of quote	Quantity (SPECIFY)	Rejected U.S. price (total value--dollars)	Country of origin	Competing import price (total value—dollars)