NC-99007 Report of Organization

2020 - 2022 Report of Organization

Attachment B - Form NC-99007

2020 - 2022 Report of Organization

OMB: 0607-0444

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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

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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
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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	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

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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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File Typeapplication/pdf
AuthorBlynda K Metcalf (CENSUS/EWD FED)
File Modified2020-05-15
File Created2020-05-15

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