Annual Survey of Farmer Cooperatives

USDA Annual Survey of Cooperative Statistics
United States Department of Agriculture
Rural Development
Cooperative Statistics

Your help is needed in developing and maintaining complete and accurate nationwide statistics on cooperatives
for use in education, research, and decision making.
The data you provide will remain confidential as provided for by law.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is
0570-0007. The time required to complete this information collection is estimated to average from 30 minutes to 1 hour 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.

* Cooperative Name:

* Headquarters Address

* Your Name:

Your Title:

Work Phone Number

* E-Mail Address:

Internet Home Page Address:

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* Name of the General Manger or Cooperative CEO

* Official title of the General Manager or Cooperative CEO

* Please indicate any corporate status changes to operational ownership over the last fiscal year

USDA Annual Survey of Cooperative Statistics
Sale or Merger

Please tell us about your sale or merger
* Name of surviving organization:

* Address of surviving organization:

E-Mail address of surviving organization:

* Date of sale or merger:
MM
Date / Time

DD

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YYYY

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USDA Annual Survey of Cooperative Statistics
Function

2

* Does your cooperative function only as a bargaining association?
Yes
No

USDA Annual Survey of Cooperative Statistics
Financial Data

Tell us about your business year
* What month did your cooperative end its most recent fiscal/business year?

3

BALANCE SHEET
Please provide the amounts for these balance sheet items for your most recently ended business year
Current Asset Value

Value of investments is all other Cooperatives (including Co-Bank)

Net value of Property, Plant, and Equipment

Total Assets

Current Liabilities

Total Liabilities

Allocated Member Equities

Unallocated Member Equities (Retained Earnings)

Total Net Worth (Total Equity)

Total Liabilities and Net Worth (Total Assets)

INCOME STATEMENT
From your income statement, please provide the following for your most recently ended business year
Total Sales

Cost of Goods Sold

Gross Margin (Total sales minus cost of goods sold )

Service Receipts and Other Operating Income or Revenue
(include service revenues, storage and handling fees, etc. )

4

Gross Revenue (Gross Margin plus Service Receipts and other Income )

Total Wages and Benefits Expense
(include payroll taxes, group insurance, commissions, profit sharing, and any other related benefits )

Depreciation Expense

Interest Expense

Other Expenses

Total Expenses (include Operating and all Other Expenses )

Net Margins From Operations (Local Savings)

Total Patronage Refunds and Dividends Received from all other Cooperatives
(include Co-Bank and all other cooperatives, less any equity write-offs )

Non-Operating Income
(include the sale of assets, discontinued operations, non-cooperative investment income, extraordinary
items and all other revenues or losses not already accounted for)

Net Income Before Taxes

Income Taxes

Total Net Income (or Loss)

* MARKETING & BARGAINING
Please provide the sales or market value of any of the following products your cooperativemarketed or
bargained for in your most recently ended business year
Grains and Oilseeds other than Cottonseed
(exclude meals and oils, distillers grains sold for feed, etc .)

5

Rice

Cotton, Lint

Cottonseed (exclude meal and oil )

Tobacco

Nuts

Sugar Beets, Sugarcane, Honey, and related products

Dry Beans and Peas, Lentils

Fresh Fruits and Vegetables (include fresh and processed market sales )

Processed Fruits and Vegetables

Milk and Milk products

Poultry, Eggs, Turkeys, Ratite, Squab, and related products

Fish, Shellfish, and Aquaculture products

Livestock and meat products (include all species not already tallied )

Wool and Mohair

Biofuels, Ethanol, Biodiesel

Manufactured or processed food, or other products
(include CO2, fur, meal related oil, cottonseed oil, and any other crops or resale items not already tallied )

6

MARKETING & BARGAINING - Percentage by Location of Origin
Please provide the primary state of origin with estimated percentage for any of the following products your
cooperative marketed or bargained for in your most recently ended business year
Primary State of Origin

Percent

Grains and Oilseeds
other than Cottonseed
Rice
Cotton, Lint
Cottonseed
Tobacco
Nuts
Sugar Beets,
Sugarcane, Honey,
and related products
Dry Beans and Peas,
Lentils
Fresh Fruits and
Vegetables
Processed Fruits and
Vegetables
Milk and Milk products
Poultry, Eggs,
Turkeys, Ratite,
Squab, and related
products
Fish, Shellfish, and
Aquaculture products
Livestock and meat
products
Wool and Mohair
Biofuels, Ethanol,
Biodiesel
Manufactured or
processed food, or
other products

7

MARKETING & BARGAINING - Percentage for other Cooperatives
Please provide the percentage of total sales of any of the following products your cooperativemarketed or
bargained for other Cooperatives in your most recently ended business year
Percentage
Grains and Oilseeds
other than Cottonseed
Rice
Cotton, Lint
Cottonseed
Tobacco
Nuts
Sugar Beets,
Sugarcane, Honey,
and related products
Dry Beans and Peas,
Lentils
Fresh Fruits and
Vegetables
Processed Fruits and
Vegetables
Milk and Milk products
Poultry, Eggs,
Turkeys, Ratite,
Squab, and related
products
Fish, Shellfish, and
Aquaculture products
Livestock and meat
products
Wool and Mohair
Biofuels, Ethanol,
Biodiesel
Manufactured or
processed food, or
other products

8

SALES OF SUPPLIES OR EQUIPMENT - Retail
Please provide the Retail Sales value of any of the following items your cooperative sold during your most
recently ended business year
Feed
(include all complete feeds, ingredients, hay, grains, oilseed meal, cottonseed meal, distillers grains, etc.
not already tallied in the previous question )

Seed
(For planting; include Seed Potatoes)

Fertilizer
(Bagged and bulk; include anhydrous ammonia, lime, etc.)

Crop Protectants
(Pesticides, Herbicides, Fungicides, etc.)

Petroleum Products
(include Gasoline, Fuel Oil, Diesel, Propane, LP Gas, Lube Oil, etc .)

All Other Products
(include building materials; tires, batteries, and accessories; containers and packaging supplies; machinery
and equipment; home equipment; animal health products; pet food, semen; hardware; food; clothing;
fencing; paint; etc.)

9

SALES OF SUPPLIES OR EQUIPMENT - Wholesale
Please provide the Wholesale value of any of the following items your cooperative sold during your most
recently ended business year
Feed
(include all complete feeds, ingredients, hay, grains, oilseed meal, cottonseed meal, distillers grains, etc.
not already tallied in the previous question )

Seed
(For planting; include Seed Potatoes)

Fertilizer
(Bagged and bulk; include anhydrous ammonia, lime, etc.)

Crop Protectants
(Pesticides, Herbicides, Fungicides, etc.)

Petroleum Products
(include Gasoline, Fuel Oil, Diesel, Propane, LP Gas, Lube Oil, etc .)

All Other Products
(include building materials; tires, batteries, and accessories; containers and packaging supplies; machinery
and equipment; home equipment; animal health products; pet food, semen; hardware; food; clothing;
fencing; paint; etc.)

WHOLESALE SALES OF SUPPLIES OR EQUIPMENT - Percentage to Other Cooperatives
Please provide the percentage of Wholesale sales of any of the following items your cooperative sold to
other Cooperatives during your most recently ended business year
Percentage
Feed
Seed
Fertilizer
Crop Protectants
Petroleum Products
All Other Products

10

SALES OF SUPPLIES OR EQUIPMENT - Percent by Location of Sale
Please provide primary state of origin with estimated percentage for any of the following products your
cooperative sold in your most recently ended business year
Primary State of Sale

Percentage

Feed
Seed
Fertilizer
Crop Protectants
Petroleum Products
All Other Products

* BUSINESS BY STATE
Please select all states in which your cooperative did business during the last year
AL

LA

OH

AK

ME

OK

AZ

MD

OR

AR

MA

PA

CA

MI

RI

CO

MN

SC

CT

MS

SD

DE

MO

TN

FL

MT

TX

GA

NE

UT

HI

NV

VT

ID

NH

VA

IL

NJ

WA

IN

NM

WV

IA

NY

WI

KS

NC

WY

KY

ND

11

EXPORT SALES
Please provide the total value of any export sales during your most recently ended business year
Fruits or Vegetables

Grains or Oilseeds

Dairy

Rice

Sugar

Cotton

Cottonseed Oil

Dry Beans

Nuts

Poultry or Turkey

Semen

Farm Supplies

Other

USDA Annual Survey of Cooperative Statistics
Membership, Employees, Locations, and Acquisitions

12

* Membership - Individual Producers
Please provide the following information about your membership during your most recently ended business
year
How many individual producers held membership in your Cooperative?

How many producer members were entitled to vote ?

* Membership - Other Cooperatives
Please provide the following information about your membership during your most recently ended business
year
How many other Cooperatives held membership in your Cooperative?

How many Cooperative members were entitled to vote ?

* Employees
Please provide the following information about your employees during your most recently ended business
year
How many full-time employees did you employ?

How many part-time or seasonal employees did you employ?

* Locations
How many locations did your Cooperative operate during your most recently ended business year?

* Mergers & Acquisitions
Did your Cooperative acquire any organizations within your most recently ended business year?

USDA Annual Survey of Cooperative Statistics
M&A Activity

13

Tell us about any organizations your Cooperative acquired in the last business year
* Was this a purchase or merger?

* Was the acquired organization another Cooperative?

* Name of the acquired organization

* Address of the acquired organization

Date of the transaction
MM
Date / Time

DD

/

YYYY

/

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