NC-99007 Report of Organization

Attachment B
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2020-2022 Report of Organization
OMB Control Number 0607-0444
Form NC-99007

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2020 Report of Organization (Rpt of Org.) and Annual Survey of Manufactures (ASM)
0MB No. 0607--0444, Approval Expires:XX/XX/XXXXIOMB No. 0607--0449, Approval Expires: 4/30/2022

Welcome to the 2020 Report of Organization (Rpt. of Org.) and Annual
Survey of Manufactures (ASM)
Due Date: March 12, 2021
YOUR RESPONSE IS REQUIRED BY LAW. Trtle 13 United States Code (U.S.C.), Sections 131 and 182 authorizes this collection. Sections 224
and 225 require your response The U.S. Census Bureau is required by Section 9 of the same law to keep your information CONFIDENTIAL and
can use your responses only to produce statistics. The Census Bureau is not permitted to publicly release your responses in a way that could
identify your business, organization, or institution. Per the Federal Cybersecuri1y Enhancement Act of 2015, your data are protected from
cybersecurity risks through screening of the systems that transmrt your data.
This collection has been approved by the Office of Management and Budget (0MB) The eight-digrt 0MB approval number for Report of
Organization is 0607 -0444 and for ASM is 0607 -0449 and appears at the upper right of this screen. Without this approval we could not conduct
these surveys.

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Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation

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Approval Expires: XX/XX/XXXX

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2020 Report of Organization
NC-99007 - Report of Organization
Location Information

DEFINITION OF ESTABLISHMENT
The reporting unit for this questionnaire is an establishment. An establishment is generally a single physical location where business is conducted
or where services or industrial operations are performed.

MAILING ADDRESS

ATTN

Name 1

Store/Plant

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Name 2

Number and Street

City, town, village, etc.

State
Select State or Territory

ZIP Code
99999-9999

PHYSICAL LOCATION
Please update the physical location if needed.
(P.O. Box and rural route addresses are not physical locations.)
Number and Street

City, town, village, etc.

State
Select State or Territory

ZIP Code
99999-9999

For Census Bureau Use Only

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CFN

1

Do Not Submit - For Informational Purposes ONLY
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OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX

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2020 Report of Organization
NC-99007 - Report of Organization
Item 1A: Ownership or Control - Voting Stock Validation

,
EIN:
Store / Plant:
CFN:

ITEM 1A: OWNERSHIP OR CONTROL - VOTING STOCK VALIDATION
Does another domestic company own more than 50 percent of the voting stock of your company?
Yes
No

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2

Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation

OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX

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2020 Report of Organization
NC-99007 - Report of Organization
Item 1B: Ownership or Control - Management and Policy

,
EIN:
Store / Plant:
CFN:

ITEM 1B: OWNERSHIP OR CONTROL - MANAGEMENT AND POLICY
Does another domestic company have the power to control the management and policies of your company?
Yes
No

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3

Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation

OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX

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2020 Report of Organization
NC-99007 - Report of Organization
Item 1C: Ownership or Control - Percent of Voting Stock Held

,
EIN:
Store / Plant:
CFN:

ITEM 1C: OWNERSHIP OR CONTROL - PERCENT OF VOTING STOCK HELD
What percent of voting stock was held by the owning or controlling company?
Less than 50%
50%

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4

Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation

OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX

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2020 Report of Organization
NC-99007 - Report of Organization
Item 1D: Ownership or Control - Company Information

,
EIN:
Store / Plant:
CFN:

ITEM 1D: OWNERSHIP OR CONTROL - COMPANY INFORMATION
What is the name, address, and 9-digit Employer Identification Number (EIN) of the owning or controlling company?
Name of owning or controlling company

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Home office address (Number and
street)

City, town, village, etc.

State
Select State or Territory

ZIP Code
99999-9999

EIN
99-9999999

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5

Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation

OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX

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2020 Report of Organization
NC-99007 - Report of Organization
Item 4: Remarks

,
EIN:
Store / Plant:
CFN:

ITEM 4: REMARKS (Optional - Enter remarks only if necessary)
Please use this space only for any explanations that may be essential in understanding your reported data. (Maximum length is 1,000 characters.)

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You have 1000 characters remaining

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6

Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation

OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX

Do Not Mail - Report Online

2020 Report of Organization
NC-99007 - Report of Organization
Item 5: Number of Establishments

,
EIN:
Store / Plant:
CFN:

ITEM 5: NUMBER OF ESTABLISHMENTS

2020
How many establishments operated under EIN at the end of 2020?

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7

OMB No.: 0607-0444

Do Not Submit - For Informational Purposes ONLY

Approval Expires: XX/XX/XXXX

Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation

Do Not Mail - Report Online

2020 Report of Organization
NC-99007 - Report of Organization
Item 5: Number of Establishments - Establishment Information

ITEM 5: NUMBER OF ESTABLISHMENTS - ESTABLISHMENT INFORMATION

CFN

Name

Secondary Name

Store/Plant

City, town, village, etc.

State
Select State or Territory

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Number and Street

ZIP Code
99999-9999

Describe kind of business at this location

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.

2020
What was the number of employees for pay period including March 12?
2020
What was the annual payroll?

$

,000.00
2020

What was the first quarter payroll (January - March 2020)?

$

,000.00

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8