Various Economic Area Pretesting Activities

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
FORM

IA-97123

2007 ECONOMIC CENSUS
Puerto Rico - Construction

OMB No. 0607-0937: Approval Expires 12/31/2008

(03/21/2007)

DUE DATE
FEBRUARY 12, 2008

Mail your completed form to:
U.S. CENSUS BUREAU
1201 East 10th Street
Jeffersonville, IN 47134-0001

IA-97123

Please read the accompanying
information sheet(s) before
answering the questions.
Need help or have questions
about filling out this form?
Visit www.census.gov/econhelp
Call 1-800-233-6136, between
8:00 a.m. and 6:00 p.m., Eastern
time, Monday through Friday.
- OR Write to the address above.
Include your 11-digit Census File
Number (CFN) printed in the
mailing address.

(Please correct any errors in this mailing address.)

YOUR RESPONSE IS REQUIRED BY LAW. Title 13, United States Code and an Act of the Legislature of Puerto
Rico No. 11 of March 27, 1950, require 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 laws, 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.
• Use blue or black ballpoint pen. • Please center numbers in their respective boxes. Examples:
• Do not use pencil or felt-tip pen. • Do not put slashes through 0 or 7.
0 1 2 3 4 5 6 7 8 9
• Place an "X" inside the box.
The reporting unit for this form is a construction establishment. A construction establishment is generally a permanent
office, payroll office, or other place where business activities related to construction are conducted. A construction
establishment manages one or more projects or jobs and is usually maintained on a continuing basis. For examples and
further clarification, see information sheet(s).
1 EMPLOYER IDENTIFICATION NUMBER
Is the Employer Identification Number (EIN) shown in the mailing address the same as the one used for this
establishment on its latest 2007 Internal Revenue Service Form 941-PR, Employer's Quarterly Federal Tax Return?
0021
Yes - Go to 2 0022
No - Enter current EIN (9 digits)
0025
2 PHYSICAL LOCATION
A. Is this establishment's physical location the same as shown in the mailing address?

97123012

(P.O. box and rural route addresses are not physical locations.)

0031

Yes

0032

No - Enter physical
location

0035

Number and street or location description

0036

City, town, etc.

B. Municipio where this establishment is physically located

0037

State,
PR, etc.

0038

ZIP Code
-

0049

PENALTY FOR FAILURE TO REPORT
USCENSUSBUREAU

CONTINUE ON PAGE 2

Form IA-97123
3

Page 2

(03/21/2007)

OPERATIONAL STATUS
Which ONE of the following best describes this establishment's operational status at the end of 2007?
(Mark "X" only ONE box.)
0011
0013
In operation
Temporarily or seasonally inactive
0014
Ceased operation - Give date at right
Month Day
0018
Sold or leased to another operator - Give
0015
date at right AND enter name and address
of new owner or operator and Employer
Identification Number (EIN) below
0060

Name of new owner or operator

0061

Year

EIN (9 digits)
-

0062

Mailing address (Number and street, P.O. Box, etc.)

0063

City, town, etc.

0064

State, PR, etc.

0065

ZIP Code
-

Other status - Specify
4 MONTHS IN OPERATION

0815

0016

Mark "X"
if None

0002

97123020

Number of months in operation during 2007 (If none, mark "X" and go to 30 .) . . . . . . . . . . . .

2007

Number

CONTINUE ON PAGE 3

Form IA-97123

Page 3

(03/21/2007)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
Dollar figures should be rounded to
HOW TO
thousands of dollars.
REPORT
DOLLAR
If a figure is $1,025,628.79:
FIGURES

If a value is "0" (or less than $500.00):
5 SALES, SHIPMENTS, RECEIPTS, OR REVENUE

Mark "X"
if None

$ Mil.

2007
Thou.

Dol.

1 0 2 6

Report
Report

A. Receipts, billings, or sales for construction work . . . . . . . . . . . . . . . .

Mark "X"
if None

$ Mil.

2007
Thou.

Dol.

0152

(Construction work includes new construction and remodeling as well as
maintenance and repair work. The activities of prime and trade contractors
are considered to be construction. Some trades, not traditionally thought of
as construction are included, such as land subdivision, excavation, building
demolition, painting, carpet-laying, and water well drilling. For a complete list
of construction activities, refer to the information sheets.)
Include:

• Receipts (or billings) derived from contract construction work done for
others.
• Sales of houses and other buildings you built and sold.
• Construction management and design-build contracts.
• Site preparation, such as land clearing, laying roads, installing utilities, and
subdividing land into lots.

Exclude:

• Cost of land other than site preparation.
• Cost of manufacturing and production machinery, furniture, etc. (any item
installed that is not part of a building structure).
B. Receipts for all other business activities done by this establishment . . . . . .

0153

Include:

0100

97123038

• Architectural services, except the design portion of integrated design-build
contracts.
• Engineering services.
• Manufacturing.
• Mining and quarrying.
• Rental or lease of properties.
• Real estate commissions and property management fees.
• Rental of construction machinery or equipment to others, without an
operator.
• Retail trade.
• Transportation.
• Wholesale trade.
• Other business activities.
C. TOTAL (Add lines A and B) . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 4

Form IA-97123

(03/21/2007)

6 E-COMMERCE SALES, SHIPMENTS, RECEIPTS, OR REVENUE
A. Were any of the sales, receipts, or revenue reported in 5 , line C a result of e-commerce transactions?

Page 4

(Transactions are receipts by this establishment where price and/or terms of the work are accepted, negotiated, or
bid online. Payment may or may not be made online. Please see the information sheets for further clarification.)

E-commerce transactions include:
• Internet
• E-mail
• Extranet
0181
Yes - Go to line B
0182
No - Go to 7

• Electronic Data Interchange (EDI)
• Other online systems

B. Percent of sales, receipts, or revenue reported in 5 , line C that are a result of e-commerce

2007
Whole percent
of sales and
receipts
0109

%

97123046

transactions. (Report whole percents. Estimates are acceptable.) . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form IA-97123

Page 5

(03/21/2007)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
7 EMPLOYMENT AND PAYROLL
Include:

• Full- and part-time employees working at this establishment whose payroll was reported on Internal Revenue
Service Form 941-PR, Employer's Quarterly Federal Tax Return, and filed under the Employer Identification Number
(EIN) shown in the mailing address or corrected in 1 .
Exclude:
• Subcontractors and their employees.
For further clarification, see information sheets.
Number of construction workers includes:
Number of other employees includes:
• Apprentices.
• Craftsmen.
• Supervisors above
• Personnel staff.
working foremen.
• Working foremen.
• Laborers.
• Engineers.
• Equipment operators
• Truck drivers and
• Office staff.
• Accounting staff.
and mechanics.
helpers.
• Executives.
• Purchasing agents.
• Journeymen.
• Others engaged directly • Architects.
• Others engaged in
in construction.
nonconstruction activities.
• Job-site record keepers.

A. Total employment (Exclude proprietors and partners.)
1. Number of paid construction workers for pay period including:
a. March 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. May 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. August 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. November 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Add lines A1a through A1d . . . . . . . . . . . . . . . . . . . . . . . .
3. Average annual construction workers (Divide line 2 by 4 - omit fractions.) . . . .
4. All other paid employees for pay period including March 12 . . . . . . . . . .
5. TOTAL (Add lines A3 and A4) . . . . . . . . . . . . . . . . . . . . . . . . .
B. Total payroll before deductions (Report payroll only for employees reported in lines

Mark "X"
if None

0330
0331
0332
0333
0338
0339
0340
0337

97123053

A1 and A4. Exclude employer's cost for fringe benefits.)

1. Annual payroll for 2007
a. Construction workers . . . . . . . . .
b. All other employees . . . . . . . . .
c. TOTAL (Add lines B1a and B1b) . . .
2. First quarter payroll (January-March, 2007)

Mark "X"
if None

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

0301

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

0302

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

0300

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

0310

2007
Number

$ Mil.

2007
Thou.

Dol.

CONTINUE ON PAGE 6

Form IA-97123

8 HOURS WORKED
Report hours worked by construction workers reported in 7 , line A1.
Number of hours worked by construction workers for quarterly pay periods including:
A. March 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0211

B. May 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0212

C. August 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0213

D. November 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0214

E. TOTAL (Add lines A through D) . . . . . . . . . . . . . . . . . . . . . . . . . .
9 – 12 Not Applicable.
13 ASSETS, CAPITAL EXPENDITURES,
2007
RETIREMENTS, AND DEPRECIATION
Mark "X"
if None

Buildings, job-site, trailers,
additions, and related
facilities, excluding land
$ Mil.
Thou. Dol.

A. Gross value of depreciable assets
(usually original cost) at the beginning of
the year . . . . . . . . . . . . . . . . 0501
B. Capital expenditures for NEW
automobiles, trucks, etc. (intended
primarily for highway use) . . . . . . . . . . . . . . . . . . . . . . . . .
C. Capital expenditures for NEW buildings,
machinery, and job-site vehicles . . . . . 0527
D. Capital expenditures for USED
buildings and machinery (Include USED
automobiles, trucks, etc.) . . . . . . . . 0528
E. Gross value of depreciable assets sold,
retired, scrapped, destroyed, etc. . . . . 0511
F. Gross value of depreciable assets at the
end of the year (Add lines A through D
minus E) . . . . . . . . . . . . . . . . 0506
G. Depreciation charges . . . . . . . . . . 0541
14 RENTAL PAYMENTS
Exclude capital leases (leases with a contract to own at the end of the lease).
A. Rental or lease of construction equipment and tools, machinery, office
equipment, furniture, and vehicles . . . . . . . . . . . . . . . . . . . . . .
97123061

Page 6

(03/21/2007)

B. Rental or lease of buildings, job-site trailers, and other structures . . . . . . .
15 Not Applicable.

Mark "X"
if None

2007
Hours

0210

Mark "X"
if None

2007
Machinery, equipment, and
vehicles
$ Mil.

Thou.

Dol.

$ Mil.

2007
Thou.

Dol.

0502

0533

0532

0534

0512

0507
0542

Mark "X"
if None

0552
0551

CONTINUE ON PAGE 7

Form IA-97123

Page 7

(03/21/2007)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
16 SELECTED EXPENSES
A. Cost of materials, subcontract work, fuels, and electricity (Include current account

Mark "X"
if None

expenses normally considered as cost of work performed or job-specific costs.)

1. Cost of materials, parts, and supplies . . . . . . . . . . . . . . . . . . .

$ Mil.

2007
Thou.

Dol.

0421

Include:

• All job-site, office, and construction materials and supplies.
• Cost of materials purchased by this establishment for subcontractors.

Exclude:

• Cost of manufacturing and production machinery, furniture, etc.
(any item installed that is not part of a building structure).

2. Cost of construction work subcontracted out to others (Exclude the cost of

materials purchased by this establishment for subcontractors.) . . . . . . .

3. Gasoline and diesel fuel . . . . . . . . . . . . . . . . . . . . . . . . . .
4. All other fuels for heat or power, including propane gas and lubricants, oils,
and greases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5. Cost of electricity . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0423

0427

0434

0425

B. Selected purchased services
Include:

• Current account expenses normally considered as overhead or non-job
related costs purchased from other companies.

Exclude:

• Cost of CONSTRUCTION activities subcontracted to others and reported
in 16 , line A2.
• Salaries paid to employees of this establishment for performing these
services.
1. Purchased maintenance and repair of construction equipment and tools;
machinery; office equipment, furniture, and vehicles, including related
service contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0401

2. Purchased maintenance and repair of buildings, job-site trailers, and other

structures (Exclude janitorial services.) . . . . . . . . . . . . . . . . . . .

0400

3. Purchased communication services (Include telephone, pager, data

transmission, fax, and related service contracts.) . . . . . . . . . . . . . .
17 and 18 Not Applicable.
19 KIND OF BUSINESS
Which ONE of the following best describes this establishment's principal kind of business in 2007?
(Mark "X" only ONE box.)

97123079

0402

Construction of Buildings

0700

236 110 00 3
236 210 00 3
236 220 00 3

New single-family, multifamily housing construction, or residential remodeling contractors
Industrial building construction
Commercial and institutional building construction

Heavy and civil engineering construction
237 110 00 1
237 120 00 1

Water and sewer line and related structures construction
Oil and gas pipeline and related structures construction
CONTINUE WITH 19 ON PAGE 8

CONTINUE ON PAGE 8

Form IA-97123

Page 8

(03/21/2007)

19 KIND OF BUSINESS - Continued
Heavy and civil engineering construction - Continued
237 130 00 4
Power and communication line and related structures construction
237 210 00 4
Land subdivision
237 310 00 7
Highway, street, and bridge construction
237 900 00 1
Other heavy and civil engineering construction
Specialty trade contractors
238 100 00 1
Foundation, structure, and building exterior contractors
238 210 00 2
Electrical contractors
238 220 00 2
Plumbing, heating, and air-conditioning contractors
238 300 00 1
Building finishing contractors including drywall, insulation, painting contractors, etc.
238 900 00 2
Other specialty trade contractors
Other kind of business or activity
772 000 00 A
Other kind of business or activity
0700

- Specify

0701

20 and 21 Not Applicable.
HOW TO
REPORT
PERCENTS

If figure is 38.76% of total sales:
22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Kind of business
Percent of the total reported in

5

2007
Percent

Report whole percents

3 9 %

, line C due to -

2007
Code

A. Construction work activities
Construction management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Subdividing and servicing raw land into lots for sale . . . . . . . . . . . . . . . . . . . . . . . . . .
97123087

Building construction on land owned by you, for sale . . . . . . . . . . . . . . . . . . . . . . . . .
Building construction on land owned by others . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Remodeling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Paving contractor -- asphalt/concrete for highways, streets, bridges, airport runways . . . . . .
Heavy construction contractor, such as bridges, tunnels, pipelines, and utility lines . . . . . . .
Rental of construction machinery or equipment (except cranes) with operator . . . . . . . . . .
Rental of cranes with operator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0713

Percent of
total business
done
0711

2303

%

7201

%

6001

%

6002

%

6003

%

7311

%

7001

%

4991

%

4992

%

CONTINUE WITH 22 ON PAGE 9

CONTINUE ON PAGE 9

Form IA-97123

Page 9

(03/21/2007)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE - Continued

2007
Code
0713

A. Construction work activities - Continued

0711

Plumbing, heating, ventilation and air-conditioning contractor, including duct work . . . . . . .

5105

%

Septic tank, cesspool, and dry well contractor (except sewer hookups to buildings) . . . . . . .

8910

%

Paint and wall covering contractor including paint or wall covering removal . . . . . . . . . . .

5210

%

Highway and traffic line painting contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5214

%

5317

%

5410

%

5420

%

5430

%

Floor laying contractor including carpet, linoleum, hard wood, and vinyl tile floor . . . . . . . .

5520

%

Framing carpentry contractor, except structural steel or concrete . . . . . . . . . . . . . . . . . .

5510

%

Finish carpentry contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8350

%

Roofing contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5610

%

5617

%

5618

%

5710

%

8990

%

Water well drilling contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5811

%

Forming, decorative steel and wrought iron work contractor . . . . . . . . . . . . . . . . . . . . .

5910

%

Structural steel erection contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8121

%

Glass, glazing, and tinting contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8150

%

Excavation work, earthmoving, or land clearing contractor . . . . . . . . . . . . . . . . . . . . . .

5934

%

Wrecking, demolition, or blasting contractor, connected with buildings and other structures . .

8914

%

Elevator, escalator, and other building equipment installation contractor . . . . . . . . . . . . .

5950

%

Swimming pool contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8993

%

Electrical contractor, including environmental control installation contractors . . . . . . . . . . .
Masonry, stonework and
plastering contractor, including brick, concrete block, stone
or stucco . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
exterior

plastering, drywall, acoustical, and insulation contractor including fresco work . . . . .
Tile, terrazzo and mosaic contractor including, ceramic tile floor, stone floor, marble, granite
and slate (interior only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Interior

Siding contractor including vinyl, wood, and aluminum . . . . . . . . . . . . . . . . . . . . . . . .
Specialty sheet metal work contractor, including metal ceiling, panel or shelving installation
(except HVAC, roofing or siding) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Concrete contractor, except paving . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Asphalt, concrete, and brick paving contractor, residential or commercial driveways and
parking areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

97123095

Percent of
total business
done

CONTINUE WITH 22 ON PAGE 10

CONTINUE ON PAGE 10

Form IA-97123

Page 10

(03/21/2007)

22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE - Continued

2007
Percent of
Code total
business
done

A. Construction work activities - Continued
Welding contractor, operating at the site of construction . . . . . . . . . . . . . . . . . . . . . . .
Other kinds of construction - Specify
0712

B. Other business activity
Architectural and engineering services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Retail trade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Wholesale trade, manufacturing, and transportation . . . . . . . . . . . . . . . . . . . . . . . . . .
Other business activities - Specify
0712

0713

0711

8192

%

8001

%

9910

%

9925

%

9940

%

9950

%

C. TOTAL (Sum of percentages reported in A and B should equal 100%) . . . . . . . . . . . . . . . . . 8005 1 0 0 %
23 TYPE OF CONSTRUCTION
Percent of the construction work reported in 5 , line A involved in the following types of construction.
(Report these percentages in column (1) below and on page 11. IMPORTANT: Complete column (1) on both pages
before completing columns (2) through (4). Then in columns (2), (3), and (4) allocate the percent for each line according
to the three categories of construction. The sum of columns (2) through (4) should equal the entry in column (1). Refer
to the information sheets for a step by step example and for definitions of the three categories of construction.)
Type of construction

97123103

0615

A. BUILDING CONSTRUCTION
Single-family houses, attached and detached, such as
town houses and row houses . . . . . . . . . . . . . . . .
Apartment buildings with two or more units such as
rentals, apartment type condominiums and walk-ups . .
Industrial and manufacturing buildings such as
pharmaceutical plants, factories, manufacturing or
packing plants, and waste disposal plants . . . . . . . . .
Commercial and institutional buildings such as stores,
hotels, religious buildings, dormitories and barracks,
dry cleaning plants, indoor swimming pools, and
warehouses . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other building construction - Specify
0615

B. NONBUILDING CONSTRUCTION
Highway, streets, bridges and elevated highways . . . .
Water and sewer lines and related structures such as
water and sewage treatment plants . . . . . . . . . . . . .
Oil and gas pipelines and related structures such as
petrochemical plants and refineries . . . . . . . . . . . . .

2007
Categories of construction
Percent of
Code construction
Additions, Maintenance
New
alterations, or and repair
work
construction reconstruction
work
0616 0614 (1)
0611 (2)
0612 (3)
0613 (4)
315

%

%

%

%

318

%

%

%

%

320

%

%

%

%

337

%

%

%

%

338

%

%

%

%

344

%

%

%

%

350

%

%

%

%

355

%

%

%

%

CONTINUE WITH 23 ON PAGE 11

CONTINUE ON PAGE 11

Form IA-97123

Page 11

(03/21/2007)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
23 TYPE OF CONSTRUCTION - Continued
Type of construction

0615

B. NONBUILDING CONSTRUCTION - Continued

Power and communication lines and related structures
such as power generation plants (except hydroelectric),
transmission and distribution stations . . . . . . . . . . .
Outdoor swimming pools . . . . . . . . . . . . . . . . . . .
Tunnels, port facilities, hydroelectric plants, and outdoor
recreational areas . . . . . . . . . . . . . . . . . . . . . . . .
Other nonbuilding construction - Specify

0615

C. TOTAL value of construction work in 2007 (Sum of

columns (2) through (4) should equal 100% in column (1).) .
24 and 25 Not Applicable.
26 SPECIAL INQUIRIES
A. OWNERSHIP OF CONSTRUCTION PROJECTS

2007
Categories of construction
Percent of
Code construction
Additions, Maintenance
New
alterations, or and repair
work
construction reconstruction
work
0616 0614 (1)
0611 (2)
0612 (3)
0613 (4)

363

%

%

%

%

365

%

%

%

%

376

%

%

%

%

380

%

%

%

%

%

%

%

%

399

1 0 0

2007
Percent

Percent of the construction work reported in 5 , line A on projects owned by the following:

1. Private businesses and individuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9000
2. Federal, Commonwealth, and municipal governments . . . . . . . . . . . . . . . . . . . . 9003
3. TOTAL (Sum of percentages reported in lines A1 and A2 should equal 100%.) . . . . . . . . . . .

B. CONSTRUCTION WORK DONE AS A SUBCONTRACTOR

%
1 0 0 %

2007
Percent
9100

%

97123111

Percent of the amount you reported in 5 , line A which represents work you did for other
contractors or builders
(Enter "0" if you did not subcontract work from other contractors or builders.) . . . . . . . . . .

%

CONTINUE ON PAGE 12

Form IA-97123

(03/21/2007)

27 LEGAL FORM OF ORGANIZATION
A. Legal form of organization that best describes this establishment at the end of 2007 (Mark "X" only ONE box.)
0691
Individual proprietorship
0692

Partnership

0693

Cooperative organization

0694

Corporation (Do not mark if any form of cooperative association.) - Go to line B

0696

Other - Specify

Page 12

0806

B. If a corporation:
Type of corporation (Mark "X" only ONE box.)
8913
Private corporation (nonprofit)
8911

Private corporation (for-profit)

Public corporation
28 and 29 Not Applicable.
REMARKS (Please use this space for any explanations that may be essential in understanding your reported data.)
8912

$$CENSUS_REMARKS$$

97123129

30 CERTIFICATION - This report is substantially accurate and was prepared in accordance with the instructions.
Is the time period covered by this report a calendar year?
Yes
No - Enter time period covered

FROM

Name of person to contact regarding this report
Telephone

Area code

Number
-

Internet e-mail address

Month

Year

TO

Month

Year

Title
Extension

Fax

Area code

Number
-

Date
completed

Month Day

Thank you for completing your 2007 ECONOMIC CENSUS form.

PLEASE PHOTOCOPY THIS FORM FOR YOUR RECORDS AND RETURN THE ORIGINAL.

Year