Form SA-42 Annual Wholesale Trade Report (Wholesale Distributors)

Attachment 2
Page 1 of 33

OMB No. 0607-0195: Approval Expires 9/30/2014
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

SA-42

2011 ANNUAL WHOLESALE TRADE REPORT
WHOLESALE DISTRIBUTORS

FORM
(DRAFT)

DUE DATE

Need help or have questions?
Call 1-800-327-4389, option "3"
(8:30 a.m. - 4:30 p.m. ET, M-F)
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.
(Please correct any errors in name, address, and ZIP Code.)

Return via Internet:
census.gov/econhelp/awts

Return via Fax:
1-800-447-4613

To view survey results:
census.gov/wholesale

Username:
Password:
GENERAL INSTRUCTIONS
• This report should cover ALL wholesale distributor establishments in the United States reporting payroll
under the Employer Identification Number (EIN) as referenced in 1 on page 2.
• Include data for auxiliary facilities primarily engaged in supporting services to this EIN's establishment(s)
such as warehouses, garages, and central administrative offices.
• Any significant change in this EIN's operations should be noted in 11 on page 6.
• For establishments sold or acquired in 2011 or 2010, report data only for the period the establishments were
operated by this EIN.
• Estimates are acceptable if book figures are not available.
• Enter "0" where applicable.

42000018

SPECIAL INSTRUCTIONS

CONTINUE ON PAGE 2

Form SA-42
1

Attachment 2
Page 2 of 33
Page 2

(DRAFT)

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
EIN (9 digits)
No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . . . .

Month

2

Day

Year

ORGANIZATIONAL CHANGE
A. Did this EIN experience any acquisitions, sales, mergers, and/or divestitures in 2011 or 2010?
Yes
No - Go to

3

on the next page

B. Which of the following organizational changes occurred in 2011 or 2010?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
page 6.
Month

Acquisition

Day

11

on

Year

Date of organizational change . . . . . . . . . . . . . . . .
Sale
AND
Merger
Enter detailed information below
Divestiture
Name of company

EIN (9 digits)

Address (Number and street, P.O. Box, etc.)

City, town, village, etc.

State

ZIP Code

3

REPORTING PERIOD
What time period is covered by the data provided in this report?
Calendar year

2011
Beginning Date
Month Day
Year

2010
Beginning Date
Month Day
Year

42000026

Fiscal or partial year - Report beginning and ending
dates . . . . . . . . . . . . . . . . . . . . . . . .
Month

4

Ending Date
Day
Year

NUMBER OF ESTABLISHMENTS

Month

Ending Date
Day
Year

2011

2010

How many wholesale establishments does this EIN operate? . . . . . . . . . . . . .
The remainder of this report refers to the establishments reported here.

CONTINUE ON PAGE 3

Form SA-42
5

Attachment 2
Page 3 of 33
Page 3

(DRAFT)

SALES, RECEIPTS, OR REVENUE
INCLUDE
• Sales of products that are shipped on this firm's
orders directly to customers
• Retail sales made by wholesale establishments
covered by this report
• Gross value of sales made on a commission basis
(not your actual commissions)
• Receipts from freight, installations, rentals,
maintenance, repairs, alterations, storage, and other
such services
• E-commerce sales
• Excise taxes (such as those on gasoline, liquor, and
tobacco) that are levied on the manufacturer and
included in the cost of products purchased by this
firm

$ Bil.

EXCLUDE
• Sales from establishments that are primarily selling
products manufactured or mined in the United
States by this firm
• Foreign sales of products that never enter the
United States
• Taxes (sales, excise, and other) collected directly
from customers and paid directly to a local, State,
or Federal tax agency
• Nonoperating receipts (such as interest income,
income from investments, and receipts from the
rental or sale of real estate)
• Commissions earned for the sale of products
• Receipts from customers for carrying or other credit
charges
• Refunds and allowances for returned products
• The actual value of rebates and discounts granted
to the purchaser, even if granted as an increase in
trade-in allowance

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

A. What were this EIN's sales and other
operating receipts in 2011 and 2010? .
B. Did this EIN collect any sales taxes in 2011 or 2010?
Yes
No - Go to
6

6

E-COMMERCE
E-commerce is the sale of goods and services where the buyer places an order, or the price and terms of the
sale are negotiated, over an Electronic Data Interchange (EDI), the Internet, mobile device (M-Commerce), or
any other online system. Payment may or may not be made online.
A. Did this EIN have any e-commerce sales in 2011 or 2010?
Yes
No - Go to

7

on the next page

42000034

$ Bil.

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

B. What were the total e-commerce sales
in 2011 and 2010? . . . . . . . . . . .
This amount should equal the sum of 6 B1
and 6 B2 shown below.
Also include this amount in 5 A.
1. What were the EDI network sales in
2011 and 2010, if any? . . . . . . .
• EDI is the exchange of documents in
standardized electronic form between
organizations in an automated manner
directly from a computer application in
one organization to an application in
another.
2. What were the online system sales
in 2011 and 2010, if any? . . . . .
• Online systems include the Internet,
mobile device (M-commerce),
extranets, e-mail, and instant
messaging.

CONTINUE ON PAGE 4

Form SA-42
7

Attachment 2
Page 4 of 33
Page 4

(DRAFT)

VALUE OF INVENTORIES
INCLUDE
• All inventories of products covered by this report,
including auxiliary locations (such as warehouses,
garages, and central administrative offices)
servicing these establishments, regardless of where
held
• Inventory held in Foreign Trade Zones or in bond
warehouses in the United States
• Report at cost or market value as of December
31 (or the end of the period for which you are
reporting)

EXCLUDE
• Items such as fixtures, equipment, and supplies not
held for resale
• Products owned by others that are being held on
consignment

A. Did this EIN own inventories, regardless of where held, at the end of 2011 or 2010 (or the end of
the period for which you are reporting)?
Yes
No - Go to

9

on the next page

B. What was the value of inventories as
of December 31 in 2011 and 2010?
1. Total inventories (if applicable,
before Last-in, First-out (LIFO)
adjustment) . . . . . . . . . . . . .
2. LIFO reserve (if applicable)
Enter zero if not applicable. . . . . . .
3. Book value of inventories
7 B1 minus 7 B2. . . . . . . . . . . .

$ Bil.

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

C. Were inventories reported as of December 31?
Yes - Go to

7

E

No
2011
Month Day
Year
D. If no, inventories were reported as of what date?
E. Were any of the inventories reported in
District of Columbia in 2011 or 2010??

7

2010
Month Day
Year

. . . .

B1 stored outside, or en route to, the 50 states and the

Yes

42000042

No - Go to

8

on the next page

F. What was the value of the inventories
stored outside, or en route to, the 50
states and the District of Columbia in
2011 and 2010??
Exclude inventory held in Foreign Trade
Zones or in bond warehouses in the U.S. .

$ Bil.

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

CONTINUE ON PAGE 5

Form SA-42
8

Attachment 2
Page 5 of 33
Page 5

(DRAFT)

INVENTORY VALUATION METHOD
A. Were any of the inventories reported in

7

B1 subject to the LIFO valuation method?

Yes
No - Go to

9

B. How much of the inventory reported
in 7 B1 was subject to:

$ Bil.

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

1. LIFO valuation method before
adjustment . . . . . . . . . . . . .
2. Any other valuation method . . . .
3. Verify Total
Sum of 8 B1 and 8 B2. Total must
equal 7 B1. . . . . . . . . . . . . . .
9

PURCHASES OF PRODUCTS
INCLUDE
• Amounts allowed for trade-ins
• Both raw and finished goods
• Products in transit to you for which you have taken
title
• Freight, delivery, and other transportation costs
included in product cost
• Import duties (if paid separately)
• Value of goods shipped from your manufacturing
plants to be sold
• The cost of services resold without processing
• Parts and supplies used in repair work or other
service type activities

What was the total cost of all products
purchased for resale for which this EIN
took title whether or not payment was
made in 2011 and 2010? . . . . . . . . .
If purchases are greater than sales, please
explain in 11 on page 6.

$ Bil.

EXCLUDE
• Returns, allowances, and trade and cash discounts
• Purchases of containers, wrapping, packaging, and
selling supplies
• Expenditures for supplies, equipment, and parts
purchased for this company's use
• Taxes (sales, excise, and other) collected directly
from customers and paid directly to a local, State,
or Federal tax agency
• Intra-company purchases between establishments
of this reporting unit

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

10 OPERATING EXPENSES
EXCLUDE
• Bad debt/customer related loss
• Purchases of goods for resale or cost of goods sold
• Income taxes
• Taxes (sales, excise, and other) collected directly
from customers and paid directly to a local, State,
or Federal tax agency
• Interest expense
• Impairment (reduction in value of long-lived assets
due to reappraisal)
• Capitalized expenses (except payroll and fringe
benefits)
• Transfers made within the company

42000059

INCLUDE
• Expenses arising from the normal course of
business, including payroll

$ Bil.

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

What were the total operating expenses
for this EIN in 2011 and 2010? . . . . . .

CONTINUE ON PAGE 6

Form SA-42

Attachment 2
Page 6 of 33
Page 6

(DRAFT)

11 REMARKS - Please use this space to explain any significant year-to-year changes, to clarify responses, or indicate where
data were estimated.

12 CONTACT INFORMATION

42000067

Name of person to contact regarding this report (Please print)

Area code
Telephone

Number

-

Title

Extension

Area code
Fax

Number

-

Website

THANK YOU
for completing your Annual Wholesale Trade Report.
We suggest you keep a copy for your records.
Public reporting burden for this collection of information is estimated to average 40 minutes per response, including the time for assembling data from existing
records and completing the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions
for reducing this burden, to: Paperwork Project 0607-0195, U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138, Washington, DC 20233. You may e-mail
comments to [email protected]; use "Paperwork Project 0607-0195" as the subject. Respondents are not required to respond to any information collection
unless it displays a valid approval number from the Office of Management and Budget. This 8-digit number appears in the top right corner of this form.