SA-52311A Annual Services Report

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2015 ANNUAL SERVICES REPORT

Worksheet
FORM

SA-52311A
Due Date

Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://econhelp.census.gov/sas

WORKSHEET
DO NOT use this worksheet to respond to the survey, it is intended to assist you
with gathering and preparing your data prior to reporting online.
Please view the online report for specific instructions that may apply to your EIN
or firm.
Return to https://econhelp.census.gov/sas
_________________________________ when you are ready to report online.

YOUR RESPONSE IS REQUIRED
BY LAW. Title 13, United States
Code, Sections 131 and 182
authorizes this collection. Sections
224 and 225 requires businesses
and other organizations that
receive this questionnaire to
answer the questions and return
the report to the U.S. Census
Bureau. By Section 9 of 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. Under the same law,
information that you report cannot
be used for taxation, regulation,
or investigation and are exempt
from release under the Freedom
of Information Act. Further, copies
of your response retained in
your files are immune from legal
process.

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

Return via Mail:
U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47132-0001

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Need help or have questions?

(DRAFT)

To view Survey Results:
census.gov/services

GENERAL INSTRUCTIONS
• Any significant change in this firm's operations should be noted in 17 .
• For establishments sold or acquired in 2015, 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) as defined by the survey coverage in 1 B.
• Data for auxiliary facilities primarily engaged in supporting services to those establishment(s) such as warehouses,
garages, central administrative offices, and repair services.
1

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

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52321015

Password:

Form SA-52311A
1

Page 2

(DRAFT)

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

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Yes
0001

No - Specify this firm's business activity
0002

2

Not Applicable.

3

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2015?
Yes
0016

No - Go to

4

B. Which of the following organizational changes occurred in 2015?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

52321023

City, town, village, etc.

State

ZIP Code

-

CONTINUE ON PAGE 3

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Sale

Day

17 .

Form SA-52311A
4

Page 3

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REPORTING PERIOD
NOTE: Calendar year data are preferred. If it is not available, please report for the fiscal
year that includes at least six months of data for the 2015 calendar year.
What time period is covered by the data provided in this report?
Calendar year
0006

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

0007

Ending Date
Month

Day

Year

0008

5

Not Applicable.

6

SALES, RECEIPTS, OR REVENUE

Mark "X"
if None

1.

52321031

2.

3.

4.

5.

Securities origination products - These products assist the issuers
of securities (businesses and governments) in creating their securities
and having them distributed to the investing public. The service may
involve advising the issuer, purchasing the securities and selling
them (underwriting), or acting as an agent in marketing the securities
Brokering and dealing products - debt instruments - Brokering
and dealing in debt instruments (e.g., bills, bonds, notes, CDs,
Guaranteed Investment Contracts (GICs), commercial paper, bankers
acceptances, all other debt instrument products) . . . . . . . . . . . . .
Brokering and dealing products - equities - Brokering and dealing
in equity securities (e.g., common stock, preferred stock, convertible
bonds, warrants, industrial corporations, commercial corporations,
non-financial services corporations, financial corporations, holding
companies, American Depository Receipts, Estate Contribution
Certificates, and all other equity products) . . . . . . . . . . . . . . . . .
Brokering and dealing products - derivative contracts Brokering and dealing derivative contracts (e.g., forward, swap,
option, credit derivative contracts, all other derivative contracts
traded over-the-counter or on exchanges) . . . . . . . . . . . . . . . . .
Brokering and dealing investment company securities Brokering and dealing investment company securities (e.g., mutual
funds, closed-end funds, unit investment trusts) . . . . . . . . . . . . .
CONTINUE WITH

6

$ Bil.

Mil.

2015
Thou.

Dol.

2161

2162

2101

2102

2163

ON PAGE 4
CONTINUE ON PAGE 4

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What were the revenues for this firm in 2015?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Amounts received for work subcontracted to others.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Dues and assessments from members and affiliates.
• Income from investments, sales of company-owned real estate (land and building) or other assets (except inventory
held for resale), securities, gifts, loans, contributions, and grants.
• Interest earned from financing leases. Interest earned from sales, rent or lease under capital, finance, or full payout.
Also include interest, dividends, and royalties.
• Net realized gains (losses) within specified area(s) of activity.
• Rents from separately operated departments, concessions, etc., which are leased to others.
• E-commerce revenue.
Exclude:
• Transfers made within the company.
• Net unrealized gains (losses).
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of separately operated departments, concessions, etc., which are leased to others.
• Revenue from customers for carrying or other credit charges.
• 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).
• Revenue from the sale of used equipment.

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2015
Beginning Date
Month Day
Year

Form SA-52311A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Mil.

2015
Thou.

Dol.

6.

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Repurchase agreements - net gains (losses) - The sale of a
security to a counterparty for cash with an agreement to repurchase
it at a fixed price on a specified future date. A reverse repurchase
agreement is from the perspective of the counterparty to a
repurchase agreement, i.e., the purchase of a security from a
counterparty for cash with an agreement to sell it at a fixed price on
a specified future date . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. Trading debt instruments on own account - net gains (losses) Gains made from buying and selling debt securities on own account
8. Trading equities on own account - net gains (losses) - Gains
made from buying and selling equity securities on own account . . .
9. Trading derivative contracts on own account - net gains
(losses) - Gains made from buying and selling derivative contracts
on own account
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Financial Planning and Investment Management Products
a. Financial planning and investment management services
for individuals - Providing financial planning, advisory, and
investment management services for private individuals . . . . . .
b. Financial planning and investment management services
for businesses and governments - Providing financial planning,
advisory, and investment management services for businesses
and governments
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. All other operating revenue - Revenue not reported in lines 1
through 10b. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

2164

2165

2166

2103

2104

2124

1799

12. TOTAL OPERATING REVENUE
Sum of lines 1 through 11 . . . . . . . . . . . . . . . . . . . . . . . . .
7

Not Applicable.

8

E-COMMERCE

1800

A. Did this firm have any e-commerce revenue in 2015?
Yes
0011

No - Go to

10

$ Bil.

52321049

B. What was the total e-commerce revenue in 2015? . . . . . . . . . .
9

Mil.

2015
Thou.

Dol.

2000

Not Applicable.

10 SOURCE OF BROKERING AND DEALING EQUITY REVENUE
How much of the brokering and dealing equity revenue reported in
from the following categories?

6

2015
Percent

, line 3, is received

1. Fees and commissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2107

%

2. Interest income from trading accounts (including margin interest) . . . . . . . . . . . .

2108

%

3. Net gains in trading accounts

2109

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

+

%

1 00%
CONTINUE ON PAGE 5

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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.

Form SA-52311A

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11 and 12 Not Applicable.
13 EXPORT REVENUE

A. Did the revenue reported in

6

include any revenue from exports?

Yes
0009

No - Go to

14

$ Bil.

B. What was this firm's revenue from exports in 2015? . . . . . . . . .

Mil.

2015
Thou.

Dol.

2100

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2015?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Bad debt.
• Impairment.
• Income tax.

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An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. Possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.

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.

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.
Mark "X"
if None

52321056

1.

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:
1. Health insurance - Insurance premiums for hospital plans,
medical plans, and single service plans (e.g., dental, vision,
prescription drugs). Include premium equivalents for selfinsured plans and fees paid to third-party administrators
(TPAs). Exclude employee contributions . . . . . . . . . . . . .

CONTINUE WITH

14

$ Bil.

Mil.

2015
Thou.

Dol.

1821

1841

ON PAGE 6

CONTINUE ON PAGE 6

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All other operating expenses

Form SA-52311A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

1.

$ Bil.

Mil.

2015
Thou.

Dol.

Personnel Costs - Continued

52321064

3.

CONTINUE WITH

14

1842

1843

1844

1823

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2.

2. Pension plans:
a. Defined benefit pension plans - Costs for both qualified
and unqualified defined pension plans. Pension plans
that specify the benefit to be paid to employees upon
retirement, generally either a specific amount or a
percentage of compensation. Employer contributions
are based on actuarial computations that include the
employee's compensation and years of service and are not
allocated to specific accounts maintained for employees . .
b. Defined contribution plans - Costs under defined
contribution plans. Pension plans that define the employer
contributions to a separate account provided for each
employee. The employee "benefit" at retirement depends
on the amount contributed and the results of the account's
activity. Examples include profit sharing plans, money
purchase (e.g., 401k, 403b) and stock bonus plans (e.g.,
ESOPs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Payroll taxes, employer paid insurance premiums
(except health), and other employer benefits - Include
legally-required fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, Medicare). Include benefits for life
insurance, "quality of life" benefits (e.g., childcare assistance,
subsidized commuting), employer contributions to pre-tax
benefit accounts (e.g., health savings accounts), education
assistance, and other benefits not specified above. Exclude
disbursements from trusts or funds to satisfy health insurance
claims . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 3i . . . . . . . . . . . .
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. Data processing and other purchased computer services Include web hosting, computer facilities management services,
computer input preparation, data storage, computer time rental,
optical scanning services, and other computer-related advice
and services, including training. Exclude expensed integrated
systems, repair and maintenance of computer equipment, payroll
processing and credit card transaction fees, and expenses for
telecommunication services (e.g., Internet, connectivity, telephone)
c. Purchased communication services - Telephone, cellular, and
fax services; computer-related communications (e.g., Internet,
connectivity, online), and other wired and wireless communication
services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law: Continued

1824

1825

1826

1845

1846

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-52311A

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

3.

2015
Thou.

Dol.

1848

1849

1850

1851

1852

1853

1854

1830

1855

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52321072

Mil.

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4.

Expensed Purchased Services - Continued
d. Purchased repairs and maintenance to machinery and
equipment - Expensed repair and maintenance services to
machinery, vehicles, equipment, and computer hardware.
Exclude materials, parts, and supplies used for repairs and
maintenance performed by this firm's employees . . . . . . . . . .
e. Purchased repairs and maintenance to buildings,
structures, and offices - Include repair and maintenance to
integral parts of buildings (e.g., elevators, heating systems).
Exclude materials, parts, and supplies used for repairs and
maintenance performed by this firm's employees. Report janitorial
. . . . . . . . . . . .
and grounds maintenance services in line 4d
f. Purchased electricity - If the cost of electricity is included in
lease or rental payments, report in line 3j . . . . . . . . . . . . . . .
g. Purchased fuels (except motor fuels) - Fuel for heating,
power, or generating electricity (e.g., natural gas, propane, oil,
coal). If the costs are included in lease or rental payments, report
in line 3j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Water, sewer, refuse removal, and other utility payments Include the cost of hazardous waste removal. If the costs of these
utilities are included in lease or rental payments, report in line 3j
i. Lease and rental payments for 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 . . . . . . . . . . . . . . . . . . . . . . .
j. Lease and rental payments for land, buildings, structures,
store spaces, and offices - Include penalties incurred for
broken leases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
k. Purchased advertising and promotional services - Include
marketing and public relations services . . . . . . . . . . . . . . . .
l. Purchased professional and technical services - Include
management consulting, accounting, auditing, bookkeeping,
legal, actuarial, payroll processing, architectural, engineering, and
other professional services. Exclude salaries paid to your own
employees for these 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. Operating interest expense - Report non-operating interest
expense in 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. 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

$ Bil.

1831

1832

2110

1859

5.

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

1900

CONTINUE ON PAGE 8

Form SA-52311A

Page 8

(DRAFT)

15 NON-OPERATING INTEREST EXPENSE
What was the non-operating interest expense for this firm as defined in
Exclude:
• Transfers made within the company.
• Capitalized interest.

B?

Mark "X"
if None

$ Bil.

Mil.

2015
Thou.

Dol.

1857

16 Not Applicable.
17 REMARKS - Please use this space to explain any significant year-to-year changes, to clarify responses, or indicate where
data were estimated.

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

Area code

52321080

Telephone
E-mail address

Number

-

Title

Extension

Area code
Fax

Number

-

Website address

THANK YOU for completing your 2015 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.
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: ECON Survey Comments 0607-0422, U.S. Census Bureau, 4600 Silver Hill Road, Room EMD-8K122, Washington,
DC 20233. You may e-mail comments to [email protected] . Be sure to use ECON Survey Comments 0607-0422 as the
subject. You are not required to respond to this collection of information if it does not display a valid approval number from the Office of
Management and Budget (OMB). The eight-digit OMB number is 0607-0422 and appears in the upper right corner of the electronic instrument
screen.

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18 CONTACT INFORMATION

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Non-operating interest expense - Non-operating interest expenses
incurred in the financing of operations and long lived assets used in
continuing operations . . . . . . . . . . . . . . . . . . . . . . .

1