Various Economic Area Pretesting Activities

2010 REPORT OF ORGANIZATION

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU
FORM

NC-99001 (09-01-2010)

OMB No. 0607-0444: Approval Expires 10/31/2012

NC-99901

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- OR Write to the address below. Include
your 11-digit Census File Number (CFN)
printed in the mailing address.
Mail your completed form to:
U.S. CENSUS BUREAU
1201 East 10th Street
Jeffersonville, IN 47132-0001

(Please correct any errors in this mailing address.)

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 CENSUS 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.
The purpose of this form is to obtain an accurate and up-to-date list of your establishments, i.e., separate business locations
that were in operation or new plant(s) under construction during part or all of 2010. This list should include establishments of
your company and each of its subsidiaries. To make it easier for you to complete this report, we have prelisted information
in 5 A that you have previously provided to the U.S. Census Bureau. Please list all other establishments of your organization
on 5 B. Do not duplicate establishments already prelisted in 5 A. Be sure to include items 1 through 4 when returning your
completed report form. Before completing this form, please read the enclosed definitions and instructions.
1

COMPANY OWNERSHIP OR CONTROL
A. DOMESTIC OWNERSHIP OR CONTROL
1. Does another domestic company hold more than 50 percent of the voting stock of your company or have the
power to control the management and policies of your company?

99901019

0008

0080

Yes - Enter the following information of the owning or
controlling company
Name of owning or controlling company

0082

Home office address (Number and street)

0083

City, town, village, etc.

0081

No - Go to line B

0009

Enter Employer Identification
Number (EIN) of owning or
controlling company (9 digits)

0084

State

-

0085

ZIP Code

2. What percent of voting stock was held by the owning or controlling company? (Mark "X" only ONE box.)
0027

Less than 50%

PENALTY FOR FAILURE TO REPORT

USCENSUSBUREAU

0028

50%

0029

More than 50%

Form NC-99001
1

(09-01-2010)

COMPANY OWNERSHIP OR CONTROL - Continued
B. FOREIGN OWNERSHIP OR CONTROL
Does a foreign entity (company, individual, government, etc.) own directly or indirectly 10 percent or more of the
voting stock or other equity rights of your company?
Yes - Enter the following information of the owning entity and go to line C

6101
6103

Name of foreign beneficial owner

6104

Home office address (Number and street)

6105

City

6106

What was the percent
ownership (direct and
indirect)? (Mark "X" only
ONE box.)
6102

6111

10-24%

6113

50%

6112

25-49%

6114

51-99%

6115

Country

100%

No - Go to line C

C. FOREIGN AFFILIATES
Does this company alone, or with its domestic affiliates, own 10 percent or more of the voting stock of an
incorporated foreign business enterprise, or an equivalent interest in an unincorporated business enterprise,
including ownership of real estate?

2

6126

Yes

6127

No

RESEARCH AND DEVELOPMENT
A. Does your company perform or fund research and development (R&D)?
6129

Yes - Go to line B

6130

No - Go to line C

B. What were your company's worldwide expenses for research and development (R&D) in 2010?
6132

Less than $3 million

6133

$3 million or more

C. Did your company introduce any new or significantly improved methods of manufacturing, producing,
delivering or distributing goods or services during the years 2008 through 2010?
6135

99901027

3A

Yes

6136

No

EMPLOYEES FROM A PROFESSIONAL EMPLOYER ORGANIZATION
Did your company lease 50 percent or more of your permanent full- and part-time workforce from a Professional
Employer Organization during 2010? (Permanent workforce excludes temporary staffing from a staffing service
and contractors.)
0244

Yes

0245

No

HOW TO
REPORT
DOLLAR
FIGURES

Mark "X"
if None $ Bil.

Dollar figures should be rounded to
thousands of dollars.
If a figure is $1,025,628.79:

Report

If a value is "0" (or less than $500.00):

Report

2010
Mil.

Thou.

1 0 2 6

EXAMPLE

Dol.

Form NC-99001

(09-01-2010)

3B OPERATING REVENUES AND NET SALES
Your company's operating revenues and net sales generated from U.S. operations in 2010.
Include:
• Revenues from your U.S. operations and subsidiaries, located in the 50 States and the District of Columbia.
• Sales of goods and services to foreign firms.
• Sales to foreign parent firms and their affiliates not owned by your company.
• Sales to foreign subsidiaries of your company.
• Revenues of discontinued operations.
Exclude:
• Domestic inter-company sales.
Special instructions for tax-exempt firms: Report revenues, realized gains and losses and contributions for all
classes of net assets regardless of restrictions.
Mark "X"
if None

2010
$ Bil.

Mil.

Thou.

Dol.

Operating revenues and net sales . . . . . . . . . . . . . . . . . . .
3C ROYALTIES AND LICENSE FEES FOR THE USE OF INTELLECTUAL PROPERTY
A. Did your company's U.S. operations earn revenues from royalties and license fees for rights to use intellectual
property in 2010?
Include:
• Revenues from royalties and license fees for intellectual property owned by your company's
domestic operations (i.e., located in the 50 states and the District of Columbia).
• Royalties and license fees paid to your company's domestic operations by foreign subsidiaries.
Exclude:
• Sales involving the transfer of ownership rights.
• Sales of and products sold as end-use licenses.
Yes - Go to line B
No - Go to

3D

2010

Mark "X"
if None

$ Bil.

Mil.

Mark "X"
if None

$ Bil.

Mil.

Thou.

Dol.

Thou.

Dol.

B. Revenues from royalties and license fees for rights to use intellectual
property in 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C. Revenues from your company's U.S. operations, as reported in line B,
was for the following types of royalties and license fees in 2010

99901035

1. Technological or industrial processes (Include patents, trade secrets,
and proprietary technology. Exclude computer software.) . . . . . . .
2. Entertainment, artistic, and literary originals (Include royalties and
license fees for rights to perform, broadcast, reproduce, and sell
copyrighted materials and other intellectual property such as films,
television and radio programs, musical works, and artistic and literary
works. Exclude computer software.) . . . . . . . . . . . . . . . . .
3. Computer software (Include royalties and license fees to reproduce,
distribute, or use computer software protected by copyright and
owned or controlled by the licensor. Exclude sales of computer
software (sold with end-user license) as well as custom software and
programming services.) . . . . . . . . . . . . . . . . . . . . . . .
4. Business format franchise sales and fees included in line B, if any . . .
5. TOTAL (Add lines C1 through C4. Total should equal line B.) . . . . .

2010

Form NC-99001
3D

(09-01-2010)

MANUFACTURING ACTIVITIES
In 2010, did your company do any of the following activities related to manufacturing?
A. Operate manufacturing facilities (such as a factory, plant, or mill) where products are completed or partially
produced?
Yes - Go to line B
No - Go to line C
B. Provide contract manufacturing services to other companies, including assembly, prototype development, blending,
and jobbing?
Yes
No - Go to line C
Estimate the percent of operating revenues and net sales, as reported in
services.

3B,

from contract manufacturing

Less than 25%
25 to 49%
50 to 74%
75 to 99%
100%
C. Purchase contract manufacturing services from other companies or foreign subsidiaries of your company to process
materials or components specified by your company?
Yes
No - Go to

4

1. Use 3rd party contract manufacturing services inside the U.S.?
Yes
No
2. Use 3rd party contract manufacturing services outside the U.S.?
Yes
No
3. Use your company's foreign subsidiaries' or affiliates' contract manufacturing services at locations outside the
U.S.?
Yes

99901043

No
4. Estimate the percent of the cost of sales from expenses for contract manufacturing services.
Less than 25%
25 to 49%
50 to 74%
75 to 99%
100%

Form NC-99001

(09-01-2010)

REMARKS (Please use this space for any explanations that may be essential in understanding your reported data.)

$$CENSUS_REMARKS$$

4

CERTIFICATION - This report is substantially accurate and was prepared in accordance with the instructions.

99901050

Is the time period covered by this report a calendar year?
Yes

No - Enter time period covered

Month

Name of person to contact regarding this report

Area code
Telephone

Number

-

Internet e-mail address

Year

Month

FROM

Year

TO

Title

Extension

Area code

Number

Fax

Date
completed

Month

Day

Thank you for completing your 2010 REPORT OF ORGANIZATION form.
PLEASE PHOTOCOPY THIS FORM FOR YOUR RECORDS AND RETURN THE ORIGINAL.

Year