NC-99530 2014 Ownership or Control

Attachment D
NC-99530

FORM
(DRAFT)

U.S. DEPARTMENT OF COMMERCE

Economics and Statistics Administration

U.S. CENSUS BUREAU

2014 OWNERSHIP OR CONTROL

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

A. Is your company owned or controlled by another domestic company
OR
does your company operate at more than one physical location?
Yes - (Complete lines B and C and return this form with your completed 2014 Annual Survey of Manufactures form.)
No - (Discard this form (NC-99530) and return your completed 2014 Annual Survey of Manufactures form.)
B. Ownership or control
1. Does another domestic company own more than 50 percent of the voting stock of your company or have the power
to control the management and policies of your company?
Yes - (Enter the following information of the owning or controlling company.)
Name of owning or controlling company

Employer Identification
Number (EIN) of
owning or controlling
company (9 digits)

No - (Go to line C.)

-

Home office address (Number and street)

City, town, village, etc.

State

ZIP Code

2. What percent of voting stock was held by the owning or controlling company?
(Mark "X" only ONE box.)
Less than 50%
50%
More than 50%
2014
Number

C. Number of establishments operated at the end of 2014 under the EIN shown to the left of
the mailing address or as corrected in 1 on the first page of the 2014 Annual Survey of
Manufactures form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

99530016

If more than one establishment:
• Provide the physical location address and other information requested on the back of this form for each location.
• Provide the headquarters location first, followed by all other locations.
• The sum of sales, shipments, receipts, or revenue for all locations should equal the amount reported in 5 and 22
under, census code 7700000, TOTAL of the 2014 Annual Survey of Manufactures form.
• The sum of employment and payroll for all locations should equal the amounts reported in 7 of the 2014 Annual
Survey of Manufactures form.
• For employees that worked at more than one location, report the employment and payroll data for the employees at
the ONE location where they spent most of their working time.

CONTINUE WITH LINE C ON PAGE 2
CONTINUE ON PAGE 2

Form NC-99530

Page 2

(DRAFT)

C. Number of establishments operated at the end of 2014 under the EIN shown to the left of the mailing address or as
corrected in 1 on the first page of the 2014 Annual Survey of Manufactures form - Continued
BEFORE YOU BEGIN: If your EIN had more than 3 physical locations at the end of 2014, copy this page and provide the
requested data for all of your locations.
Name

Estimates are acceptable
2014
$ Bil.

Secondary name

Mil.

Thou.

Store/Plant No.
Sales, shipments,
receipts, or revenue

Physical location (Number and street)

1 City, town, village, etc.

2014
Number
State

Number of employees
for pay period including
March 12 . . . . . . . .
2014

ZIP Code

$ Bil.

-

Mil.

Thou.

First quarter payroll
(Jan-Mar 2014) . . .

Describe kind of business at this location
Annual payroll . . .
Name

Estimates are acceptable
2014
$ Bil.

Secondary name

Mil.

Thou.

Store/Plant No.
Sales, shipments,
receipts, or revenue

Physical location (Number and street)

2 City, town, village, etc.

2014
Number
State

Number of employees
for pay period including
March 12 . . . . . . . .
2014

ZIP Code

$ Bil.

-

Mil.

Thou.

First quarter payroll
(Jan-Mar 2014) . . .

Describe kind of business at this location
Annual payroll . . .
Name

Estimates are acceptable
2014
$ Bil.

99530024

Secondary name

Mil.

Thou.

Store/Plant No.
Sales, shipments,
receipts, or revenue

Physical location (Number and street)

3 City, town, village, etc.

2014
Number
State

Number of employees
for pay period including
March 12 . . . . . . . .
2014

ZIP Code

$ Bil.

-

First quarter payroll
(Jan-Mar 2014) . . .

Describe kind of business at this location
Annual payroll . . .

Mil.

Thou.