Download:
pdf |
pdf-----SAMPLE FORM----Proposed FORM BE-150
QUARTERLY SURVEY OF PAYMENT CARD AND BANK CARD
TRANSACTIONS RELATED TO INTERNATIONAL TRAVEL
(This report is mandatory and confidential)
Name and address of U.S. reporter -
Enter or correct as necessary
10001
1
10002
2
10003
3
City
10004
State
4
10005
Zip
10006
Assistance is available at (202) 606-5588, M-F 8:30 A.M. – 5:00 P.M., eastern time.
How to file:
Step 1. Verify or correct name and address of the U.S. reporter (above) and complete Part I.
Step 2. Complete Part II based on the instructions.
Step 3. File the completed form electronically at http://www.bea.gov/efile within 45 days after the close of each fiscal period.
Public reporting burden for this BE-150 report is estimated to average 16 hours per response. This burden includes time for reviewing the instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden
to estimate to Director, Bureau of Economic Analysis (BE-1), U.S. Department of Commerce, Washington, DC 20230; and to the Office of Management and Budget,
Paperwork Reductions Project 0608-0072, Washington, DC 20503.
Purpose - This survey is to gather information on the credit, debit, charge, automated teller machine (ATM), and point of sale (POS) transactions of U.S. persons
traveling abroad and foreign persons traveling in the United States. The information collected will be used to formulate U.S. international economic policy and to
analyze the impact of that policy, and the policies of foreign countries, on international trade in services. The data will also be used in estimating the travel component
of the U.S. international transactions accounts and national income and product accounts.
Authority - This survey is being conducted under the authority of the International Investment and Trade in Services Survey Act (P.L. 94-472, 90 Stat. 2059, 22 U.S.C.
3101-3108, as amended – hereinafter “the Act”), and the filing of reports is mandatory under Section 5(b)(2) of the Act (22 U.S.C. 3104). Regulations for the survey
may be found in 15 CFR Part 801.
Penalties - Whoever fails to report may be subject to a civil penalty of not less than $2,500, and not more than $25,000, and to injunctive relief commanding such
person to comply, or both. These civil penalties are subject to inflationary adjustments. Those adjustments are found in 15 CFR 6.4. Whoever willfully fails to report
shall be fined not more than $10,000 and, if an individual, may be imprisoned for not more than one year, or both. Any officer, director, employee, or agent of any
corporation who knowingly participates in such violations, upon conviction, may be punished by a like fine, imprisonment, or both. (See 22 U.S.C. 3105.)
Notwithstanding the above, a U.S. person is not subject to any penalty or failure to report if a valid Office of Management and Budget (OMB) control number is not
displayed on the form; such a number (0608-0072) is displayed at the top of the first page of this form.
Confidentiality - The Act provides that your report to this Bureau is CONFIDENTIAL and may be used only for analytical or statistical purposes. Without your prior
written permission, the information filed in your report CANNOT be presented in a manner that allows it to be individually identified. Your report CANNOT be used for
purposes of taxation, investigation, or regulation. Copies retained in your files are immune from legal process.
Part I
1.
Person to consult concerning questions about this report:
1
Name ………………..10007
2.
Title……..……….…..10008
2
Telephone number...10009
3
E-mail address……..10010
4
What period does this quarterly report cover?
Beginning Date
Beginning date……………..10012
1
Ending date…………....…..10013
1
Ending Date
3.
10014
4.
May e-mail be used to correspond between your enterprise and BEA to discuss questions relating to this form, including questions that may contain information
about your company that you may consider confidential? NOTE: The Internet is not a secure means of transmitting confidential information unless it is encrypted.
If you choose to communicate with BEA via electronic mail, BEA cannot guarantee the security of the information during the transmission, but will treat information it
receives as confidential in accordance with Section (5) of the International Investment and Trade in Services Survey Act.
1
1
Yes
2
No
Certification - The undersigned official certifies that this report has been prepared in accordance with the applicable instructions, is complete, and is substantially
accurate. Please provide the names and title below.
Authorized official’s signature
Title
Name and title
Date
Page 1
Part II – Payment Card and Bank Card Transactions
Instructions:
Schedule A: Report qualifying transactions between foreign cardholders and U.S. merchants or cash dispensers that were settled through any credit, charge,
debit, automated teller machine (ATM), or point of sale (POS) networks that your firm operates.
Schedule B: Report qualifying transactions between U.S. cardholders and foreign merchants or cash dispensers that were settled through any credit, charge,
debit, ATM, or POS networks that your firm operates.
The remaining instructions are applicable to both Schedule A and Schedule B unless otherwise specified.
Column 2: Report all cash advances and withdrawals.
Columns 3-16: In columns 3-8, report purchases for which the card is present at the point of sale, by spending category. In columns 9-14, report purchases for
which the card is not present at the point of sale (including Internet and phone transactions), by spending category. The spending category of each transaction
is determined by the merchant category code (MCC) used in the transaction. See Additional Instructions below for further guidance.
Line 1: Enter the total value of all transactions for the period indicated in Part I, question 2.
Lines 2, 3, and 4: On line 2, report business or corporate card transactions; on line 3, report personal card transactions; on line 4, report government card
transactions. The total of lines 2, 3, and 4 equals line 1.
Beginning on line 5: Report transactions by country. Use as many lines as necessary. Enter the country name in column 1.
o
Schedule A: Enter data on transactions between foreign cardholders and U.S. merchants or cash dispensers by country based on the billing address of
the cardholder. (If the billing address cannot be determined, enter transactions based on the location of the foreign card issuer.)
o
Schedule B: Enter data on transactions between U.S. cardholders and foreign merchants or cash dispensers by country based on the location of the
merchant or cash dispenser.
Note:
Report in thousands of U.S. dollars. Example - $1,555,055.00 should be reported as $1555.
Report gross amounts charged to the cardholders (net of fees), not the amounts that merchants receive.
Transactions should be reported net of any credits from returns, refunds, as well as any other reversals or chargebacks such as those related to fraudulent
transactions.
Definitions:
Cash advances and withdrawals - currency amounts borrowed or withdrawn using a credit, debit, charge, ATM, or POS card.
Cash dispensers - companies or institutions that dispense currency amounts to cardholders making cash advances and withdrawals using their credit, debit,
charge, ATM, or POS cards.
Foreign cardholder - a holder of a card issued by a foreign bank or institution.
Foreign merchants - companies located outside of the United States that accept payments on credit, debit, charge, ATM, or POS card networks.
Purchases - purchases of goods or services made through credit, debit, charge, ATM, or POS card networks; excludes cash advances and withdrawals.
Qualifying Transaction – any transaction that is run using a qualifying MCC. See Additional Instructions below for a list of all qualifying and omitted MCCs.
Transactions - an exchange of funds conducted through credit, debit, charge, ATM, or POS card networks; includes purchases, cash advances, and cash
withdrawals.
U.S. cardholder - a holder of a card issued by a U.S. bank or institution.
U.S. merchants - companies located within the United States that accept payments on credit, debit, charge, ATM, or POS card networks.
United States - when used in a geographical sense means the fifty states, the District of Columbia, the commonwealth of Puerto Rico, and all territories and
possessions of the United States.
Additional Instructions:
Summary of MCCs by Spending Category
Columns 3-14: Classify transactions by MCC into spending categories as follows. See Summary of Spending Categories by MCC below for more
information on classifying MCCs. Do not report any transactions run using the MCCs that are listed as omitted.
Qualifying MCCs
o
Lodging – 3501-3790, 6513, 7011, 7012, 7032, 7033.
o
Air transportation – 3000-3299, 4511, 4723, 4582.
o
Other transportation – 3351-3441, 4011, 4111, 4112, 4119, 4121, 4131, 4411, 4457, 4468, 4784, 4789, 7512, 7513, 7519, 7523.
o
Food services and drinking places – 5811, 5812, 5813, 5814, 5921.
o
Recreation and entertainment – 4722, 7832, 7911, 7922, 7929, 7932, 7933, 7941, 7991, 7992, 7994-7999.
o
Retail goods and services – 742, 743, 744, 4215, 4812, 4814, 4821, 5300, 5309, 5310, 5311, 5331, 5399, 5411, 5422, 5441, 5451, 5462, 5499, 5541,
5542, 5611, 5621, 5631, 5641, 5651, 5655, 5661, 5681, 5691, 5697, 5698, 5699, 5712, 5713, 5714, 5718, 5719, 5722, 5732, 5733, 5734, 5735, 5912,
5931, 5932, 5933, 5937, 5940-5950, 5962, 5970, 5972, 5973, 5975-5978, 5992-5995, 5997-5999, 6010-6012, 7210, 7211, 7216, 7221, 7230, 7251,
7273, 7278, 7296, 7297, 7298, 7299, 7333, 7338, 7379, 7394, 7395, 7399, 7511, 7542, 7549, 7622, 7631, 7841, 7993, 8351, 8699, 9402.
Omitted MCCs
763, 780, 1520, 1711, 1731, 1740, 1750, 1761, 1771, 1799, 2741, 2791, 2842, 4214, 4225, 4816, 4829, 4899, 4900, 5013, 5021, 5039, 5044, 50455047, 5051, 5065, 5072, 5074, 5085, 5094, 5099, 5111, 5122, 5131, 5137, 5139, 5169, 5172, 5192, 5193, 5198-5200, 5211, 5231, 5251, 5261, 5271,
5511, 5521, 5531, 5532, 5533, 5551, 5561, 5571, 5592, 5598, 5599, 5935, 5960, 5963-5969, 5971, 5983, 5996, 6051, 6211, 6300, 6399, 7217, 7261,
7276, 7277, 7311, 7321, 7339, 7342, 7349, 7361, 7372, 7375, 7392, 7393, 7531, 7534, 7535, 7538, 7623, 7629, 7641, 7692, 7699, 7829, 8011, 8021,
8031, 8041-8043, 8049, 8050, 8062, 8071, 8099, 8111, 8211, 8220, 8241, 8244, 8249, 8299, 8398, 8641, 8651, 8661, 8675, 8734, 8911, 8931, 8999,
9211, 9222, 9223, 9311, 9399, 9405, 9950.
Page 2
Summary of Spending Categories by MCC
Spending Categories
1. Lodging (columns (3) and (9) in Schedules A and B)
2. Air Transportation (columns (4) and (10) in Schedules A and B)
3. Other Transportation (columns (5) and (11) in Schedules A and B)
4. Food Services & Drinking Places (columns (6) and (12) in Schedules A and B)
5. Recreation and Entertainment (columns (7) and (13) in Schedules A and B)
6. Retail Goods and Services (columns (8) and (14) in Schedules A and B)
n/a (Not Applicable – omitted MCCs)
MCC
Description
Spending Category
MCC
Description
6
4900
Utilities...........................................................................
6
5013
Motor Vehicle Supplies and New Parts........................... n/a
744
Champagne Producer...................................................... 6
5021
Office and Commercial Furniture...................................
763
Agricultural Cooperative.................................................
n/a
5039
Construction Materials (Not Elsewhere Classified)......... n/a
5044
Photographic, Photocopy, Microfilm Equipment, and
Supplies........................................................................... n/a
Computers, Peripherals, and Software........................... n/a
742
Veterinary Services.........................................................
743
Wine Producer................................................................
780
Landscaping Services....................................................... n/a
1520
General Contractors........................................................ n/a
1711
Heating, Plumbing, A/C................................................... n/a
1731
Electrical Contractors...................................................... n/a
1740
Masonry, Stonework, and Plaster................................... n/a
1750
Carpentry Contractors..................................................... n/a
1761
Roofing/Siding, Sheet Metal...........................................
n/a
1771
Concrete Work Contractors............................................
n/a
1799
Special Trade Contractors...............................................
n/a
2741
Miscellaneous Publishing and Printing............................ n/a
2791
Typesetting, Plate Making, and Related Services...........
n/a
2842
Specialty Cleaning...........................................................
n/a
3000 ‐ 3299
Airlines............................................................................
2
3351 ‐ 3441
Spending Category
Car Rental........................................................................ 3
3501 ‐ 3790
Hotels/Motels/Inns/Resorts...........................................
1
4011
Railroads.........................................................................
3
5045
5046
Commercial Equipment (Not Elsewhere Classified).......
5047
n/a
n/a
n/a
5051
Medical, Dental, Ophthalmic, and Hospital Equipment
and Supplies.................................................................... n/a
Metal Service Centers..................................................... n/a
5065
Electrical Parts and Equipment....................................... n/a
5072
Hardware, Equipment, and Supplies............................... n/a
5074
Plumbing, Heating Equipment, and Supplies.................. n/a
5085
Industrial Supplies (Not Elsewhere Classified)................ n/a
5094
Precious Stones and Metals, Watches and Jewelry........ n/a
5099
Durable Goods (Not Elsewhere Classified)...................... n/a
5111
Stationery, Office Supplies, Printing and Writing Paper.. n/a
5122
Drugs, Drug Proprietaries, and Druggist Sundries…........ n/a
5131
Piece Goods, Notions, and Other Dry Goods.................. n/a
5137
Uniforms, Commercial Clothing...................................... n/a
5139
Commercial Footwear..................................................... n/a
5169
Chemicals and Allied Products (Not Elsewhere
Classified)........................................................................ n/a
Petroleum and Petroleum Products.............................. n/a
4111
Commuter Transport, Ferries........................................
3
4112
Passenger Railways.........................................................
3
4119
Ambulance Services........................................................
3
4121
Taxicabs/Limousines.......................................................
3
5192
Books, Periodicals, and Newspapers..............................
n/a
4131
Bus Lines.......................................................................... 3
5193
Florists Supplies, Nursery Stock, and Flowers................
n/a
4214
Motor Freight Carriers and Trucking ‐ Local and Long
Distance, Moving and Storage Companies, and Local
Delivery Services............................................................
Courier Services..............................................................
5198
Paints, Varnishes, and Supplies....................................... n/a
5199
Nondurable Goods (Not Elsewhere Classified)............... n/a
4215
4225
4411
Public Warehousing and Storage ‐ Farm Products,
Refrigerated Goods, Household Goods, and Storage....
Cruise Lines.....................................................................
n/a
6
n/a
3
4457
Boat Rentals and Leases.................................................. 3
4468
Marinas, Service and Supplies........................................
3
4511
Airlines, Air Carriers......................................................... 2
4582
Airports, Flying Fields...................................................... 2
4722
Travel Agencies, Tour Operators..................................... 5
4723
TUI Travel ‐ Germany......................................................
2
4784
Tolls/Bridge Fees.............................................................. 3
4789
Transportation Services (Not Elsewhere Classified)......
3
4812
Telecommunication Equipment and Telephone Sales...
6
4814
Telecommunication Services........................................... 6
4816
Computer Network Services...........................................
n/a
4821
Telegraph Services..........................................................
4829
Wires, Money Orders...................................................... n/a
4899
Cable, Satellite, and Other Pay Television and Radio.....
6
n/a
5172
5200
Home Supply Warehouse Stores..................................... n/a
5211
Lumber, Building Materials Stores.................................. n/a
5231
Glass, Paint, and Wallpaper Stores................................. n/a
5251
Hardware Stores.............................................................. n/a
5261
Nurseries, Lawn and Garden Supply Stores.................... n/a
5271
Mobile Home Dealers...................................................... n/a
5300
Wholesale Clubs.............................................................. 6
5309
Duty Free Stores.............................................................. 6
5310
Discount Stores............................................................... 6
5311
Department Stores.......................................................... 6
5331
Variety Stores.................................................................. 6
5399
Miscellaneous General Merchandise.............................. 6
5411
Grocery Stores, Supermarkets........................................ 6
5422
Freezer and Locker Meat Provisioners............................ 6
5441
Candy, Nut, and Confectionery Stores............................ 6
5451
Dairy Products Stores...................................................... 6
5462
Bakeries........................................................................... 6
Page 3
MCC
5499
Description
Spending Category
5531
Miscellaneous Food Stores ‐ Convenience Stores and
Specialty Markets...........................................................
Car and Truck Dealers (New & Used) Sales, Service,
Repairs Parts and Leasing..............................................
Car and Truck Dealers (Used Only) Sales, Service,
Repairs Parts and Leasing................................................
Auto and Home Supply Stores........................................
5532
5533
5511
5521
6
n/a
n/a
n/a
MCC
Description
Spending Category
5945
Hobby, Toy, and Game Shops......................................... 6
5946
Camera and Photographic Supply Stores.......................
5947
Gift, Card, Novelty, and Souvenir Shops......................... 6
5948
Luggage and Leather Goods Stores................................. 6
6
5949
Sewing, Needlework, Fabric, and Piece Goods Stores..
Automotive Tire Stores................................................... n/a
5950
Glassware, Crystal Stores................................................ 6
6
Automotive Parts and Accessories Stores....................... n/a
5960
Direct Marketing ‐ Insurance Services............................ n/a
5541
Service Stations..............................................................
6
5962
Direct Marketing ‐ Travel................................................ 6
5542
Automated Fuel Dispensers............................................ 6
5963
Door‐To‐Door Sales......................................................... n/a
5551
Boat Dealers.................................................................... n/a
5964
Direct Marketing ‐ Catalog Merchant............................. n/a
5561
RV, Camper and Trailer Dealers...................................... n/a
5965
5966
Direct Marketing ‐ Combination Catalog and Retail
Merchant......................................................................... n/a
Direct Marketing ‐ Outbound Tele.................................. n/a
5967
Direct Marketing ‐ Inbound Tele..................................... n/a
5571
Motorcycle Shops and Dealers....................................... n/a
5592
Motor Homes Dealers....................................................
5598
Snowmobile Dealers........................................................ n/a
5599
Miscellaneous Auto Dealers...........................................
5611
Men’s and Boy’s Clothing and Accessories Stores.......... 6
n/a
n/a
5621
Women’s Ready‐To‐Wear Stores.................................... 6
5631
Women’s Accessory and Specialty Shops....................... 6
5641
Children’s and Infant’s Wear Stores............................... 6
5651
Family Clothing Stores..................................................... 6
5655
Sports and Riding Apparel Stores.................................... 6
5661
Shoe Stores..................................................................... 6
5681
Furriers and Fur Shops.................................................... 6
5691
Men’s, Women’s Clothing Stores.................................... 6
5697
Tailors, Alterations.......................................................... 6
5698
Wig and Toupee Stores................................................... 6
5699
Miscellaneous Apparel and Accessory Shops..............
5712
5713
Furniture, Home Furnishings, and Equipment Stores,
Except Appliances........................................................... 6
Floor Covering Stores..................................................... 6
5714
Drapery, Window Covering, and Upholstery Stores......
6
5968
Direct Marketing ‐ Subscription...................................... n/a
5969
Direct Marketing ‐ Other................................................
5970
Artist’s Supply and Craft Shops....................................... 6
5971
Art Dealers and Galleries................................................. n/a
5972
Stamp and Coin Stores.................................................... 6
n/a
5973
Religious Goods Stores.................................................... 6
5975
Hearing Aids Sales and Supplies...................................... 6
5976
Orthopedic Goods ‐ Prosthetic Devices........................... n/a
5977
Cosmetic Stores............................................................... 6
5978
Typewriter Stores............................................................ 6
5983
Fuel Dealers (Non Automotive)....................................... n/a
5992
Florists............................................................................. 6
5993
Cigar Stores and Stands................................................... 6
5994
News Dealers and Newsstands....................................... 6
5995
Pet Shops, Pet Food, and Supplies.................................. 6
5996
Swimming Pools Sales..................................................... n/a
6
5997
Electric Razor Stores.......................................................
5718
Fireplace, Fireplace Screens, and Accessories Stores..... 6
5998
Tent and Awning Shops................................................... 6
5719
Miscellaneous Home Furnishing Specialty Stores........... 6
5999
Miscellaneous Specialty Retail........................................ 6
5722
Household Appliance Stores........................................... 6
6010
Manual Cash Disburse..................................................... 6
5732
Electronics Stores............................................................ 6
6011
Automated Cash Disburse............................................... 6
5733
Music Stores‐Musical Instruments, Pianos, and Sheet
Music............................................................................... 6
Computer Software Stores............................................. 6
6012
Financial Institutions....................................................... 6
5734
5735
Record Stores.................................................................
5811
Caterers........................................................................... 4
6
5812
Eating Places, Restaurants.............................................. 4
5813
Drinking Places...............................................................
4
5814
Fast Food Restaurants....................................................
4
5912
5921
5931
Drug Stores and Pharmacies..........................................
6
Package Stores‐Beer, Wine, and Liquor.......................... 4
Used Merchandise and Secondhand Stores.................... 6
5932
Antique Shops................................................................. 6
5933
Pawn Shops..................................................................... 6
5935
Wrecking and Salvage Yards........................................... n/a
5937
Antique Reproductions................................................... 6
5940
Bicycle Shops................................................................... 6
5941
Sporting Goods Stores..................................................... 6
5942
Book Stores..................................................................... 6
5943
Stationery Stores, Office, and School Supply Stores....... 6
5944
Jewelry Stores, Watches, Clocks, and Silverware Stores. 6
6
6051
Non‐FI, Money Orders..................................................... n/a
6211
Security Brokers/Dealers................................................. n/a
6300
Insurance Underwriting, Premiums................................ n/a
6399
Insurance ‐ Default.......................................................... n/a
6513
Real Estate Agents and Managers ‐ Rentals...................
7011
Hotels, Motels, and Resorts............................................ 1
7012
Timeshares...................................................................... 1
7032
Sporting/Recreation Camps............................................ 1
7033
Trailer Parks, Campgrounds...........................................
1
7210
Laundry, Cleaning Services.............................................
6
7211
Laundries........................................................................
6
7216
Dry Cleaners.................................................................... 6
1
7217
Carpet/Upholstery Cleaning............................................ n/a
7221
Photographic Studios...................................................... 6
7230
Barber and Beauty Shops................................................ 6
7251
Shoe Repair/Hat Cleaning............................................... 6
7261
Funeral Services, Crematories......................................... n/a
7273
Dating/Escort Services..................................................... 6
Page 4
MCC
7276
Description
Spending Category
MCC
Description
Spending Category
Tax Preparation Services................................................. n/a
7994
Video Game Arcades....................................................... 5
7277
Counseling Services........................................................
7995
Betting/Casino Gambling................................................ 5
7278
Buying/Shopping Services............................................... 6
7996
Amusement Parks/Carnivals........................................... 5
7296
Clothing Rental...............................................................
6
7997
Country Clubs.................................................................. 5
7297
Massage Parlors.............................................................. 6
7998
Aquariums....................................................................... 5
7298
Health and Beauty Spas................................................... 6
7999
Miscellaneous Recreation Services................................. 5
7299
Miscellaneous General Services...................................... 6
8011
Doctors............................................................................ n/a
n/a
7311
Advertising Services........................................................ n/a
8021
Dentists, Orthodontists................................................... n/a
7321
Credit Reporting Agencies............................................... n/a
8031
Osteopaths...................................................................... n/a
Chiropractors................................................................... n/a
7333
Commercial Photography, Art and Graphics................... 6
8041
7338
Quick Copy, Repro, and Blueprint................................... 6
8042
Optometrists, Ophthalmologist...................................... n/a
7339
Secretarial Support Services............................................ n/a
8043
Opticians, Eyeglasses....................................................... n/a
7342
Exterminating Services.................................................... n/a
8049
Chiropodists, Podiatrists................................................. n/a
7349
Cleaning and Maintenance.............................................. n/a
8050
Nursing/Personal Care...................................................
n/a
7361
Employment/Temp Agencies.......................................... n/a
8062
Hospitals.......................................................................... n/a
7372
Computer Programming.................................................. n/a
8071
Medical and Dental Labs................................................. n/a
7375
Information Retrieval Services........................................ n/a
8099
Medical Services.............................................................
7379
Computer Repair............................................................. 6
8111
Legal Services, Attorneys................................................. n/a
n/a
7392
Consulting, Public Relations.........................................
n/a
8211
Elementary, Secondary Schools...................................... n/a
7393
Detective Agencies.......................................................... n/a
8220
Colleges, Universities...................................................... n/a
7394
Equipment Rental........................................................... 6
8241
Correspondence Schools................................................. n/a
7395
Photo Developing............................................................ 6
8244
Business/Secretarial Schools........................................... n/a
7399
Miscellaneous Business Services....................................
6
8249
Vocational/Trade Schools............................................... n/a
7511
Truck Stop....................................................................... 6
8299
Educational Services....................................................... n/a
7512
Car Rental Agencies........................................................ 3
8351
Child Care Services.......................................................... 6
7513
Truck/Utility Trailer Rentals............................................ 3
8398
7519
Recreational Vehicle Rentals........................................... 3
Charitable and Social Service Organizations ‐
Fundraising...................................................................... n/a
Civic, Social, Fraternal Associations................................. n/a
7523
Parking Lots, Garages...................................................... 3
7531
Auto Body Repair Shops.................................................. n/a
7534
Tire Retreading and Repair.............................................. n/a
7535
Auto Paint Shops............................................................. n/a
7538
Auto Service Shops.......................................................... n/a
7542
Car Washes...................................................................... 6
7549
Towing Services............................................................... 6
7622
Electronics Repair Shops................................................. 6
7623
A/C, Refrigeration Repair................................................ n/a
7629
Small Appliance Repair.................................................... n/a
7631
Watch/Jewelry Repair..................................................... 6
7641
Furniture Repair, Refinishing........................................... n/a
8641
8651
Political Organizations..................................................... n/a
8661
Religious Organizations................................................... n/a
8675
Automobile Associations................................................. n/a
8699
Membership Organizations............................................. 6
8734
Testing Laboratories........................................................ n/a
8911
Architectural/Surveying Services.................................... n/a
8931
Accounting/Bookkeeping Services.................................. n/a
8999
Professional Services....................................................... n/a
9211
Court Costs, Including Alimony and Child Support ‐
Courts of Law.................................................................. n/a
Fines ‐ Government Administrative Entities................... n/a
9222
9223
Bail and Bond Payments (payment to the surety for the
bond, not the actual bond paid to the government
agency)........................................................................... n/a
Tax Payments ‐ Government Agencies............................ n/a
7692
Welding Repair................................................................ n/a
7699
Miscellaneous Repair Shops............................................ n/a
9311
Picture/Video Production................................................ n/a
9399
Government Services (Not Elsewhere Classified)........... n/a
7832
Motion Picture Theaters................................................. 5
9402
Postal Services ‐ Government Only................................. 6
7841
Video Tape Rental Stores................................................ 6
9405
U.S. Federal Government Agencies or Departments...... n/a
Dance Hall, Studios, Schools........................................... 5
9950
Intra‐Company Purchases............................................... n/a
7829
7911
7922
Theatrical Ticket Agencies............................................... 5
7929
Bands, Orchestras........................................................... 5
7932
Billiard/Pool Establishments........................................... 5
7933
Bowling Alleys................................................................. 5
7941
Sports Clubs/Fields.......................................................... 5
7991
Tourist Attractions and Exhibits...................................... 5
7992
Golf Courses ‐ Public....................................................... 5
7993
Video Amusement Game Supplies.................................. 6
Page 5
Schedule A
Transactions between foreign cardholders and U.S. merchants or cash dispensers
REPORT TRANSACTIONS IN THOUSANDS OF U.S. DOLLARS
Card present at point of sale
Cash
advances
and
withdrawals
(1)
1.
Total
(2)
Card not present at point of sale
Lodging
Air
transportation
Other
transportation
Food
services &
drinking
places
Recreation &
entertainment
Retail goods
and services
Lodging
Air
transportation
Other
transportation
Food
services &
drinking
places
Recreation &
entertainment
Retail goods
and services
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
A2001
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
By type of card (total of lines 2, 3, and 4 must equal line 1):
2.
Business or corporate cards
20002
3.
Personal cards
20003
4.
Government cards
20004
By country (total of all lines below must equal line 1):
Enter the name of the country below. (The country is determined by the billing address of the cardholder):
5.
1
Select Country
20005
6.
1
Select Country
20006
7.
1
Select Country
20007
8.
1
Select Country
20008
9.
1
Select Country
20009
10.
1
Select Country
20010
11.
1
Select Country
20011
12.
1
Select Country
20012
13.
1
Select Country
20013
14.
1
Select Country
20014
15.
1
Select Country
20015
16.
1
Select Country
20016
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
Page 6
Schedule B
Transactions between U.S. cardholders and foreign merchants or cash dispensers
REPORT TRANSACTIONS IN THOUSANDS OF U.S. DOLLARS
Card present at point of sale
Cash
advances
and
withdrawals
(1)
1.
Total
(2)
Card not present at point of sale
Lodging
Air
transportation
Other
transportation
Food
services &
drinking
places
Recreation &
entertainment
Retail goods
and services
Lodging
Air
transportation
Other
transportation
Food
services &
drinking
places
Recreation &
entertainment
Retail goods
and services
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
B20001
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
By type of card (total of lines 2, 3, and 4 must equal line 1):
2.
Business or corporate cards
20002
3.
Personal cards
20003
4.
Government cards
20004
By country (total of all lines below must equal line 1):
Enter the name of the country below. (The country is determined by the location of the foreign merchant or cash dispenser):
5.
1
Select Country
20005
6.
1
Select Country
20006
7.
1
Select Country
20007
8.
1
Select Country
20008
9.
1
Select Country
20009
10.
1
Select Country
20010
11.
1
Select Country
20011
12.
1
Select Country
20012
13.
1
Select Country
20013
14.
1
Select Country
20014
15.
1
Select Country
20015
16.
1
Select Country
20016
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
2
3
4
5
6
7
8
9
10
11
12
13
14
Page 7
| File Type | application/pdf |
| File Title | Microsoft Word - BE-150 full form v19.docx |
| Author | bpanc1 |
| File Modified | 2011-09-14 |
| File Created | 2011-09-14 |