SA-51912E Annual Services Report

OMB No. 0607-0422: Approval Expires 10/31/2012
U.S. DEPARTMENT OF COMMERCE

2011 ANNUAL SERVICES REPORT

Economics and Statistics Administration

U.S. CENSUS BUREAU
FORM

SA-51912E

(11-22-2011)

Due Date

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Call 1-800-772-7851
(8:30 a.m. - 5:00 p.m. ET, M-F)
or
Visit census.gov/econhelp/sas
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.

Return via Internet:
census.gov/econhelp/sas
Username:

(Please correct any errors in name, address, and ZIP Code.)

Return via Mail:
U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47134-0001

To view Survey Results:
census.gov/services

Password:
GENERAL INSTRUCTIONS
Throughout this survey, any reference to "this firm" is referring to the EIN that is printed in the mailing
address area or the new EIN that was provided as a response in 2 . Any responses related to "this firm" should
only include data for the EIN referenced.

51912012

• Any significant change in this firm's operations should be noted in 17 .
• For establishments sold or acquired in 2011 or 2010, report data only for the period the establishments were
operated by this firm.
• Estimates are acceptable if book figures are not available.
• Enter "0" where applicable.
• Do not combine data for two or more detailed lines.
• Report data on an accrual basis, except for payroll.
Bil.
Mil.
Thou.
Dol.
• Dollars should be rounded to the nearest dollar.
1 030280456
• If a figure is $1,030,280,456 it should be reported as
Include:
• Data for all Services establishments (excluding data for Retail, Wholesale, Manufacturing, Mining, and
Construction operations) operating under the EIN printed in the mailing address area.
• Data for auxiliary facilities primarily engaged in supporting services to those establishment(s) such as
warehouses, garages, central administrative offices, and repair services.

PENALTY FOR FAILURE TO REPORT

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Form SA-51912E
1

Page 2

(11-22-2011)

SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
No - Specify this firm's business activity

2

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

Day

Year

51912020

Month

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Form SA-51912E
3

Page 3

(11-22-2011)

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

4

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
Month

Acquisition

Day

17 .

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

4

REPORTING PERIOD
What time period is covered by the data provided in this report?
2011
Beginning Date

Calendar year

Month

Day

2010
Beginning Date

Year

Month

Ending Date
Day
Year

Month

Day

Year

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

5

Ending Date
Day
Year

TAX STATUS
A. Is this establishment operated on a not-for-profit basis?
Yes

51912038

No - Go to

6

B. Was all or part of the income of this establishment or organization exempt from Federal
income taxes under section 501 of the Internal Revenue Code?
Yes
No

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Form SA-51912E
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Page 4

(11-22-2011)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2011 and 2010?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• E-commerce revenue.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. Possessions).
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.

$ Bil.

51912046

1.

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

Non-Operating Revenue (Lines 1a through
1d to be completed by tax-exempt firms only)
a. Contributions, gifts, and grants
received . . . . . . . . . . . . . . . . . . . .
b. Investment and property income Include interest and dividends.
Exclude gains (losses) from assets sold .
c. Program service - Include revenue from
the sale of any admissions (excluding
state, local, or admission taxes); the use
of facilities; the operation of schools,
classes, training facilities, and instructional
services; registration fees received in
connection with a meeting or convention;
equipment rental services; government
contracts; and other fees received for
providing a service . . . . . . . . . . . . . .
d. All other non-operating revenue Revenue not reported in lines 1a through
1c. Include capital gains and losses. If
this item is greater than 20% of the
total revenue, specify the primary
source of revenue below

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6

ON PAGE 5
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Form SA-51912E
6

Page 5

(11-22-2011)

SALES, RECEIPTS, OR REVENUE - Continued
$ Bil.

2.

7

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

TOTAL REVENUE (To be completed by taxexempt and taxable firms)
For tax-exempt firms this is the sum of lines
1a through 1d . . . . . . . . . . . . . . . . . .
SALES TAX
A. Did this firm collect any sales taxes in 2011 or 2010?
Yes
No - Go to

8

B. What were the total sales taxes
collected in 2011 and 2010?
Exclude excise taxes . . . . . . . . . . .
8

$ Bil.

Mil.

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 Internet, mobile device (M-Commerce), extranet, EDI network, electronic mail, or
other comparable online system. Payment may or may not be made online.
A. Did this firm have any e-commerce revenue in 2011 or 2010?
Yes
No - Go to

14

$ Bil.

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

B. What was the total e-commerce
revenue in 2011 and 2010? . . . . . .
9 – 13 Not Applicable.
14 OPERATING EXPENSES

51912053

What were the operating expenses for this firm in 2011 and 2010?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans. Exclude the cost of
leased employees, employer's cost for fringe benefits, and temporary staff obtained from temporary help services. For
unincorporated businesses, exclude profit or other compensation of proprietors or partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.

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Form SA-51912E

Page 6

(11-22-2011)

14 OPERATING EXPENSES - Continued
$ Bil.

1.

2.

51912061

3.

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

Personnel Costs
a. Gross annual payroll - Total annual
Medicare salaries and wages for all
employees as reported on this firm's IRS
Form 941, Employer's Quarterly Federal
Tax Return, line 5(c) for the four quarters
that correspond to the survey period or
IRS Form 944 Employer's Annual Federal
Tax Return, line 4(c). Include the spread
on stock options that are taxable to
employees as wages . . . . . . . . . . . . .
b. Employer's cost for fringe benefits Employer's cost for legally required
programs and programs not required
by law. Include insurance premiums
for hospital plans, medical plans, and
single service plans (e.g., dental, vision,
prescription drugs); premium equivalents
for self-insured plans and fees paid
to third-party administrators (TPAs);
defined benefit pension plans; defined
contribution plans (e.g., profit sharing,
401K, stock option plans); and other fringe
benefits (e.g., Social Security, workers'
compensation insurance, unemployment
tax, state disability insurance programs,
life insurance benefits, Medicare).
Exclude employee contributions . . . . .
c. Temporary staff and leased employee
expense - Total costs paid to Professional
Employer Organizations (PEOs) and
staffing agencies for personnel. Include
all charges for payroll, benefits, and
services . . . . . . . . . . . . . . . . . . . . .
Expensed Materials, Parts, and Supplies
(not for resale)
a. Expensed equipment - Expensed
computer hardware and other equipment
(e.g., copiers, fax machines, telephones,
shop and lab equipment, CPUs, monitors).
Report packaged software in line 3a.
Report leased and rented equipment in
line 3c . . . . . . . . . . . . . . . . . . . . .
b. Expensed purchases of other
materials, parts, and supplies Materials and supplies used in providing
services to others; materials and parts
used in repairs; office and janitorial
supplies; small tools; containers and other
packaging materials; and motor fuels . . .
Expensed Purchased Services
a. Expensed purchases of software Purchases of prepackaged, custom coded,
or vendor customized software. Include
software developed or customized
by others, web-design services and
purchases, licensing agreements,
upgrades of software, and maintenance
fees related to software upgrades and
alterations . . . . . . . . . . . . . . . . . . .
b. Purchased electricity and fuels
(except motor fuels) - If the cost of
electricity and heating fuels (e.g., natural
gas, propane, oil, coal) are included in
lease or rental payments, report in line 3c

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Form SA-51912E

Page 7

(11-22-2011)

14 OPERATING EXPENSES - Continued
$ Bil.

3.

51912079

4.

5.

Mil.

2011
Thou.

Dol.

$ Bil.

Mil.

2010
Thou.

Dol.

Expensed Purchased Services - Continued
c. Lease and rental payments - For land,
buildings, offices, structures, machinery,
equipment, and other tangible items.
Include lease and rental of transportation
equipment without operators and
penalties incurred for broken leases.
Exclude capital and financing lease
agreements and licensing/leasing of
software . . . . . . . . . . . . . . . . . . . .
d. Purchased repair and maintenance Include expensed repair and maintenance
to buildings and integral building
components (e.g., elevators, heating
and cooling systems), structures, offices,
machinery, vehicles, equipment, and
computer hardware. Exclude materials,
parts, and supplies used for repair and
maintenance performed by this firm's
employees. Report janitorial and grounds
maintenance services in line 4c . . . . . .
e. Purchased advertising and
promotional services - Include
marketing and public relations services
.
Other Operating Expenses
a. Depreciation and amortization
charges - Include depreciation charges
taken against tangible assets owned and
used by this firm, tangible assets and
improvements owned by this firm within
leaseholds, tangible assets obtained
through capital lease agreements, and
amortization charges against intangible
assets (e.g., patents, copyrights).
Exclude impairment . . . . . . . . . . . . .
b. Governmental taxes and license fees Payments to government agencies for
taxes and licenses. Include business and
property taxes. Exclude income taxes
and sales and excise taxes collected from
customers . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All
other operating expenses not reported
above, unless specifically excluded in
the general instructions. Include office
postage paid and package delivery.
Exclude purchases of merchandise for
resale and non-operating expenses. If
this item is greater than 20% of the
total operating expenses, specify
the primary source of the expenses
below

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . .

15 and 16 Not Applicable.

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Form SA-51912E

Page 8

(11-22-2011)

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

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

51912087

Address (Number and street)

Title

City

State

ZIP Code

Area code
Telephone
E-mail address

Number

-

Extension

Area code
Fax

Number

-

Website address

Public reporting burden for this collection of information is estimated to average 3-6 hours per response, including the 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 0607-0422, U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138, Washington, DC 20233. You
may e-mail comments to [email protected]; use "Paperwork Project 0607-0422" as the subject. Please include form name and number
in all correspondence. 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 on the front of this form.