NC-99801 Company Activities

OMB No. : Approval Expires

Form NC-99801
(DRAFT)

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

COMPANY ACTIVITIES
1

If not shown, please enter
your 11-digit Census File
Number (CFN) from the
mailing address.

FOREIGN OWNERSHIP AND AFFILIATION
A. 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 B

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 B

B. 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
How much research and development (R&D) did your company perform or fund in the United States in 2012?
None

6132

Some, but less than $3 million

6133

$3 million or more

99801011

6139

CONTINUE ON PAGE 2

Form NC-99801

HOW TO
REPORT
DOLLAR
FIGURES

Page 2

(DRAFT)

Mark "X"
if None

Dollar figures should be rounded to
thousands of dollars.
If a figure is $2,035,628.79:

2012
Mil.

Thou.

2

Report

0 3 6

EXAMPLE

If a value is "0" (or less than $500.00): Report
3

$ Bil.

ROYALTIES AND LICENSE FEES FOR THE USE OF INTELLECTUAL PROPERTY
A. Did your company's U.S. operations earn revenues in 2012 from royalties and license fees for rights to
use intellectual property?
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 products sold as end-use licenses.
• Franchise fees.
9701

Yes - Go to line B

9702

No - Go to

4

, MANUFACTURING ACTIVITIES
Mark "X"
if None

B. Revenues from royalties and license fees for rights to use
intellectual property in 2012 . . . . . . . . . . . . . . . . .

$ Bil.

2012
Mil.

Thou.

9703

C. Revenues from your company's U.S. operations, as reported
in line B, for the following types of royalties and license fees in
2012:
1. Technological or industrial processes (Include patents, trade
secrets, and proprietary technology. Exclude computer
software.) . . . . . . . . . . . . . . . . . . . . . . . . .

9704

2. Entertainment, artistic, educational, and literary original
works (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, written works, and musical
and other artistic works. Exclude computer software.) . . . .

9705

3. Software — Rights to reproduce, distribute, or use software
protected by copyright and owned or controlled by the
licensor (Exclude sales of software sold with end-use
licenses, as well as custom software and programming
services.) . . . . . . . . . . . . . . . . . . . . . . . . .

9706

99801029

4. Other - Specify
9751

5. TOTAL (Sum of lines C1 through C4 should equal line B.)

9708

CONTINUE ON PAGE 3

Form NC-99801

Page 3

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
4

MANUFACTURING ACTIVITIES - Please respond even if you are not a manufacturer.
In 2012, 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?
9709

Yes - Go to line B

9710

No - Go to line C

B. Provide contract manufacturing services to other companies incorporating their patents, trade secrets, or
proprietary technology?
9711

Yes

9712

No - Go to line C
Estimate the percent of operating revenues and net sales from contract manufacturing services.
9713

Less than 25%

9714

25% - 49%

9715

50% - 74%

9716

75% - 99%

9717

100%

C. Purchase contract manufacturing services from other companies or foreign subsidiaries of your company
incorporating your company's patents, trade secrets, or proprietary technology?
9718

Yes

9719

No - Go to Remarks

1. Use 3rd party contract manufacturing services inside the United States (i.e., located in the 50 states and the
District of Columbia)?
9720

Yes

9721

No

2. Use 3rd party contract manufacturing services outside the United States (i.e., located outside the 50 states
and the District of Columbia)?
9722

Yes

9723

No

99801037

3. Use your company's foreign subsidiaries' or affiliates' contract manufacturing services at locations outside
the United States (i.e., located outside the 50 states and the District of Columbia)?
9724

Yes

9725

No

4. Estimate the percent of the cost of sales from expenses for contract manufacturing services.
9726

Less than 25%

9727

25% - 49%

9728

50% - 74%

9729

75% - 99%

9730

100%
CONTINUE ON PAGE 4

Form NC-99801

(DRAFT)

Page 4

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.

PUBLIC REPORTING BURDEN
• Public Reporting Burden for this collection of information is estimated to be 16 minutes per response, including time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions for reducing this burden, to: Paperwork Project 0607-0444,
U.S. Census Bureau, 4600 Silver Hill Road, AMSD - 3K2138, Washington, DC 20233. You may e-mail comments to
[email protected]; use "Paperwork Project 0607-0444" as the subject.
• Response to this collection of information is not required unless it displays a valid approval number from the Office of
Management and Budget (OMB). The OMB eight-digit number appears in the upper right hand corner of the form.
• Respondents can get assistance in completing and filing this form by visiting the Census website at
econhelp.census.gov, by calling the toll-free number (800-233-6136) between 8:00 a.m. and 6:00 p.m., Eastern time,
Monday through Friday, or by writing the Census Bureau at the address below.
U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47134-0001

99801045

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