2017 - 2019 Report of Organization

Attachment D
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017-2019 Report of Organization
OMB Control Number 0607-0444
Form NC-99007 Information Sheet

Definitions and Instructions for the
Report of Organization, NC-99007
Estimates are acceptable if book figures are not readily available.
This survey contains questions about the organization, and allows the respondent to add additional
locations if needed.
Respondents fill out this survey online using a question by question response driven approach.
Respondents will navigate through this survey, based on responses to questions and clicking the
‘Save and Continue’ button, then review and correct the responses (as needed), and then submit
these responses within this instrument.

Burden Statement
We estimate this survey will take an average of 12 minutes to complete, 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: ESMD Survey Comments 0607-0444, U.S. Census
Bureau, 4600 Silver Hill Road, Room ESMD-5H160, Washington, DC 20233. You may e-mail comments
to [email protected]. Be sure to use "ESMD Survey Comments 0607-0444" as the subject.
Response to this collection of information is not required unless it displays a valid approval number from
the Office of Management and Budget (OMB). The OMB eight-digit number appears in the upper right
corner of the instrument.

Definition of Establishment and other items
Establishment - An establishment is a single physical location where business is conducted or where
services or industrial operations are performed. (For example: a factory, mill, store, hotel, movie theater,
mine, farm, and administrative office.) If distinctly separate activities are performed at the same location,
and if there is significant employment in each activity, then each activity should be treated as a separate
establishment, except agricultural production as explained below. (For example: construction activities
operated out of the same physical location as a lumber yard.)
For firms engaged in construction, real estate management or operation, transportation,
communication, electric, gas, and sanitary services, and similar types of physically dispersed
activities, it is not necessary to list separately each individual "site," "project," "field," "network,"
"line," or "system." It is only necessary to report for main or branch offices, terminals, stations,
etc., which are either (a) directly responsible for supervising such activities, or (b) the base from
which personnel operate to carry out these activities.
Census File Number (CFN) - A CFN has been assigned to your company. Always refer to the complete
number in any correspondence with the U.S. Census Bureau.
Employer Identification Number (EIN) - The EIN is the nine-digit taxpayer identification number
assigned by the Internal Revenue Service (IRS) and used by all business firms and other legal entities to
file federal employment tax returns such as Forms 941 and 943; and federal income tax returns such as
Forms 1065, 1120, and 990 series.
Company - An economic unit comprising one or more establishments under common ownership or
control.

Mailing Address
This information is what the U.S. Census Bureau has on file for this establishment and lists the location
this survey was mailed to. Respondents may update ATTN, Name 1, Name 2, Street, City, State, and ZIP
Code fields if the information displayed is incorrect.

Ownership or Control: Voting stock validation
Select the suitable answer to indicate if another domestic company owns more than 50 percent of the
voting stock of your company.

Ownership or Control: Management and policy
Select the suitable answer to indicate if another domestic company has the power to control the
management and policies of your company.

Ownership or Control: Percent of Voting Stock Held
Select the suitable answer to indicate the percentage of voting stock held by the owning or controlling
company.

Ownership or Control: Company Information
Enter the name, home office address, and EIN of the owning or controlling company.
Note: Do not list as a controlling company, the company for which you operate a franchise.

Physical Location Validation
Select the suitable answer to indicate if the establishment’s physical location listed is accurate.

Physical Location Information
Enter/Update the physical location of the establishment: address (number and street), city, state, and ZIP.

Number of Establishments
List the number of establishments operated under the establishment’s Employer Identification Number
(EIN).

Location List
If establishments were added, they will appear in the Location List. Select Start to begin reporting data
for each location.

Establishment Information is included on the Physical Location screen
For each location under the EIN, enter the following information for that location: Name, Secondary
Name, Store/Plant Number, Physical Location, City, State, ZIP, the kind of business at that location,
number of employees for the pay period including March 12, first quarter payroll, and annual payroll.
Each location will have an area to enter the above information for that location only. Click ‘Save and
Return to Location List’ to navigate to the next location to add.
Note: For employees that worked at more than one location, report the employment and payroll
data for employees at the ONE location where they spent most of their working time.
Number of employees for the pay period including March 12, 2018 - Number of employees, both fulland part-time, whose payroll was reported on your organization's IRS Form(s) 941, Employer's Quarterly
Federal Tax Return.
• Include as employees any persons on paid sick leave, paid holidays, and paid vacations; include
salaried officers and executives of incorporated firms.
• Exclude full- or part-time leased employees whose payroll was filed under an employee leasing
company's EIN and temporary staffing obtained from a staffing service.
Payroll - The sum of payroll reported for individual establishments for an EIN should equal the taxable
Medicare wages and tips reported on your organization's IRS Form(s) 941, Employer's Quarterly Federal
Tax Return plus the spread on stock options that are taxable to employees.
• Include the total of wages paid, tips reported, and other compensation paid to your employees in
the calendar year, whether or not subject to income or social security taxes. Include all wages,
salaries, commissions, fees, bonuses, vacation allowances, sick leave pay, severance pay, the
amount of reported tips, and the value of taxable fringe benefits. Also include any employee
contributions to a qualified pension plan, such as the 401(k) plan. Also include the spread on
stock options that are taxable to employees as wages.
• Exclude pensions, annuities, supplemental unemployment compensation benefits, nontaxable
fringe benefits, and commissions and fees paid to independent contractors. Also, exclude
employer contributions for pension plans and for health insurance and qualified benefits under a
cafeteria plan. For unincorporated businesses, exclude the profit or compensation paid to
proprietors or partners.

Special Instructions for Selected Industries
Banks - Report main and branch locations as separate establishments. Individual ATM outlets should not
be listed as separate establishments.
Construction establishment - A construction establishment is a relatively permanent office, or other
place of business, where the usual business activities related to construction are conducted. With some
exceptions, a relatively permanent office is one which has been established for the management of more
than one project or job and which is expected to be maintained on a continuing basis.
Retail departments or concessions - List as a separate establishment (including specific street
address) those retail or service outlets operated by your firm as a department of a retail or service
establishment, such as shoe departments or beauty salons in department stores, meat or bakery
departments in grocery stores or millinery departments in clothing stores.
Medical - Part-time offices should not be considered as separate establishments. List only the offices
which are staffed on a full-time basis and include the employment and payroll for the part-time offices.
Home health care services should not consider the customers' locations as separate establishments.
Employment and payroll for these locations should be included with the main or branch office from which
the work is supervised.
Legal - Part-time, temporary, or special offices should not be considered separate establishments for
purposes of this report. Data for such locations should be included with the controlling main or branch
location where the service is primarily performed.