Forms & Instructions

Attachment D
2012 Economic Census

Information; Professional, Scientific, and Technical Services; Management of
Companies and Enterprises; Administrative and Support and Waste Management
and Remediation Services; Educational Services; Health Care and Social
Assistance; Arts, Entertainment, and Recreation; and Other Services (Except Public
Administration) Sectors

Information Sheets for Standard and Consolidated Forms

D-1
D-2
D-3
D-4
D-5
D-6
D-7

Information Sheet for Standard Taxable Establishments
Information Sheet for Standard Mixed Establishments
Information Sheet for Taxable Enterprise Support Establishments
Information Sheet for Standard Information Sector Establishments
Information Sheet for Information Sector Enterprise Support
Establishments
Information Sheets for Information Sector Consolidated
Establishments
Information Sheet for Management of Companies and Enterprises
Sector Establishments

Attachment D-1
2012 Economic Census

Professional, Scientific, and Technical Services; Administrative and Support and
Waste Management and Remediation Services; Educational Services; Health Care
and Social Assistance; Arts, Entertainment, and Recreation; and Other Services
(Except Public Administration) Sectors

Information Sheet for Standard Taxable Establishments
SV-ST(I)

SV-ST(I)

U.S. DEPARTMENT OF COMMERCE

(DRAFT)

Economics and Statistics Administration

U.S. CENSUS BUREAU

2012 ECONOMIC CENSUS

Professional, Scientific, and Technical Services; Administrative and Support and Waste Management
and Remediation Services; Educational Services; Health Care and Social Assistance; Arts,
Entertainment, and Recreation; and Other Services, except Public Administration Sectors
INFORMATION SHEET
This 2012 Economic Census information sheet covers
establishments engaged in the following areas of economic
activity:

• Receipts and payroll data should be rounded to the
nearest thousand dollars as illustrated on the report
form.

• Professional, Scientific, and Technical Services
• Administrative and Support and Waste Management and
Remediation Services
• Educational Services
• Health Care and Social Assistance
• Arts, Entertainment, and Recreation
• Other Services, except Public Administration
(including establishments engaged in Repair and
Maintenance; Personal and Laundry Services; and
Religious, Grantmaking, Civic, and Other Membership
Organizations)
If an establishment is NOT engaged in one of these kinds
of businesses, DESCRIBE its business or activity in item
19 AND COMPLETE the report form as accurately as
possible.

• If there are any questions or if any communication
regarding the report form is necessary, reference the 11digit Census File Number (CFN) printed in the mailing
• address section on the first page of the consolidated
report form.

DEFINITION OF ESTABLISHMENT
An .establishment is generally a single physical
location where business is conducted or where services
or industrial operations are performed. This includes
all locations of a company or organization, including
administrative offices, warehouses, etc., that were in
operation at any time during 2012.
GENERAL INSTRUCTIONS
• Please report information for each establishment owned
or controlled by the company or organization. If the
company or organization has multiple locations and an
Ownership and Control flyer was included in your
mailing package, please complete the enclosed flyer.
If your mailing package does not include this flyer
and separate report forms are not provided for each
establishment, visit
www.census.gov/econhelp or call 1-800-233-6136
between 8:00 a.m. and 6:00 p.m., Eastern time, Monday
through Friday, to request additional report forms.
• Each report form should cover calendar year 2007.
If book figures are not available, estimates are
acceptable. However, if the accounting fiscal year is
different from the calendar year, fiscal year figures will
be acceptable for all items except payroll (calendar year
figures for payroll should be available from your Internal
Revenue Service (IRS) Form 941, Employer¿s Quarterly
Federal Tax Return, or Form 944, Employer¿s Annual
Federal Tax Return). Indicate in item 30 the exact dates
covered.
• If an establishment stopped operating before January
1, 2012, mark (X) the box to indicate "None" in item 4,
indicate action and date in item 3, and return the report
form.
• If an establishment was closed, sold, or leased to
another company or organization during 2012, complete
the report form for the portion of 2007 that the
establishment was operating as part of the company or
organization.

SV-ST(I)

• Please photocopy each report form for your records and
return the originals.
• Public reporting burden for this collection of information
is estimated to vary from 18 minutes to 9 hours and 30
minutes per response, with an average of 1 hour and 6
minutes 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. Send comments
regarding this burden estimate or any other aspect of
this collection of information, including suggestions for
reducing this burden, to: Paperwork Project 0607-0934,
U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138,
• Washington, DC 20233. You may e-mail comments to
Paperwork@census.gov; use "Paperwork Project 06070934" 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 report form.
INSTRUCTIONS FOR SELECTED ITEMS
2. PHYSICAL LOCATION
Answer all sections (A through C) of item 2 even if the
mailing address shown is correct.
3. OPERATIONAL STATUS
Mark (X) the one box that best describes the operational
status of the establishment at the end of 2012.
• In operation - The establishment was open and actively
conducting business on December 31, 2012.
• Temporarily or seasonally inactive - Although
not conducting business at the end of 2012, the
establishment will eventually reopen and conduct
business under the same Employer Identification Number
(EIN). Examples include businesses in resort areas that
close during the "off-season" or establishments that
temporarily close for remodeling.
• Ceased operation - The establishment has gone out of
business or closed and does not plan to reopen. Provide
the month, day, and year that the establishment ceased
operation. Complete all items for the portion of 2012
during which the establishment was in operation.
• Sold or leased to another operator - The
establishment was sold or leased to another company or
organization. Provide the month, day, and year that
the change occurred and indicate the name, address, and
EIN of the new owner or operator. Complete all items
for the portion of 2012 prior to the change in operator.

• Other - The establishment's operational status at the end
of 2012 is not accurately described above. Please specify
a description of the establishment's operational status in
the space provided.
5. SALES, SHIPMENTS, RECEIPTS, OR REVENUE

If employees worked at more than one location, report
employment and payroll for employees at the ONE location
where they spent most of their working time.
A. Employment

Include

Include:

• Gross receipts from services provided, from the use of
facilities, and from merchandise sold in 2012, whether or
not payment was received in 2012.

• All full- and part-time employees on the payroll during the
pay period including March 12, 2012.

• Advertising agencies, travel industries, and other service
establishments operating on a commission basis commissions, fees, and other operating income, NOT
gross billings or sales.
• Hospitals and other health care establishments - net
patient revenue, NOT gross patient revenue.
• Receipts from services performed for FOREIGN parent
firms, subsidiaries, branches, etc.
• Rental of nonresidential space in buildings and facilities,
including this establishment's share of receipts from
departments, concessions, and vending and amusement
machines operated by others.
• Receipts from the rental and leasing of vehicles,
equipment, instruments, tools, etc.
• Total value of service contracts.
• Market value of compensation received in lieu of cash.

• Salaried officers and executives of a corporation.
• Salaried members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal income
tax return).
• Employees on paid sick leave, paid vacations, and paid
holidays.
Exclude:
• Proprietors or partners of an unincorporated company.
• Employees of departments or concessions operated by
other companies at the establishment.
• Full- and part-time leased employees whose payroll was
filed under an employee leasing company¿s Employer
Identification Number (EIN).
• Temporary staffing obtained from a staffing service.

• Amounts received for work subcontracted to others.

• Independent contractors.

• Dues and assessments from members and affiliates.

B. Payroll

•

Include:

Sale or licensing of rights to intellectual property
protected by copyright or as industrial property (e.g.,
patents, trademarks).

Exclude
• Sales and other taxes (including Hawaii¿s General Excise
Tax) collected directly from customers or clients and paid
directly to a local, state, or federal tax agency.
• Sales of used equipment previously rented or leased to
customers.
• Proceeds from the sale of real estate (land and buildings),
investments, or other assets (except inventory held for
resale).
• Income from interest, real estate investments, dividends,
contributions, and grants.
• Gross receipts from departments or concessions operated
by others.
• Domestic intracompany transfers.
• Receipts of foreign parent firms and subsidiaries.
• Other nonoperating income.
7. EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the Internal
Revenue Service (IRS) Forms 941 and 944, and as described
in Circular E, Employer¿s Tax Guide.

SV-ST(I) (DRAFT)

• Wages, salaries, tips, vacation allowances, bonuses,
commissions, and other compensation paid to employees
during 2012 and reported on IRS Forms 941 or 944 as
taxable Medicare Wages and tips (even if not subject to
income or FICA tax).
• Salaries of officers and executives of a corporation.
• Salaries of members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal income
tax return).
• Employee contributions to qualified pension plans.
• The spread on stock options that is taxable to employees
as income.
Exclude:
• Payments to or withdrawals by proprietors or partners of
an unincorporated company.
• Annuities or supplemental unemployment compensation
benefits, even if income tax was withheld.
• Payrolls of departments or concessions operated by other
companies at the establishment.
19. KIND OF BUSINESS
Choose the one kind of business that best describes the
establishment in 2012. If none of the provided selections
seem appropriate, provide a specific description of the
primary business activity.

Attachment D-2
2012 Economic Census

Professional, Scientific, and Technical Services; Administrative and Support and
Waste Management and Remediation Services; Educational Services; Health Care
and Social Assistance; Arts, Entertainment, and Recreation; and Other Services
(Except Public Administration) Sectors

Information Sheet for Standard Mixed Establishments
SV-SM (I)

SV-SM(I)

U.S. DEPARTMENT OF COMMERCE

(DRAFT)

Economics and Statistics Administration

U.S. CENSUS BUREAU

2012 ECONOMIC CENSUS

Professional, Scientific, and Technical Services; Administrative and Support and Waste Management
and Remediation Services; Educational Services; Health Care and Social Assistance; Arts,
Entertainment, and Recreation; and Other Services, except Public Administration Sectors
INFORMATION SHEET
This 2012 Economic Census information sheet covers
establishments engaged in the following areas of economic
activity:

• If there are any questions or if any communication
regarding a report form is necessary, reference the 11digit Census File Number (CFN) shown in the mailing
address.
• Please photocopy each report form for your records and
return the originals.
• Public reporting burden for this collection of information
is estimated to vary from 18 minutes to 5 hours
and 6 minutes per response, with an average of 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. Send comments
regarding this burden estimate or any other aspect of
this collection of information, including suggestions for
reducing this burden, to: Paperwork Project 0607-0934,
U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138,
Washington, DC 20233. You may e-mail comments to
Paperwork@census.gov; use "Paperwork Project 06070934" 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 report form.

• Professional, Scientific, and Technical Services
• Administrative and Support and Waste Management and
Remediation Services
• Educational Services
• Health Care and Social Assistance
• Arts, Entertainment, and Recreation
• Other Services, except Public Administration
(including establishments engaged in Repair and
Maintenance; Personal and Laundry Services; and
Religious, Grantmaking, Civic, and Other Membership
Organizations)
If an establishment is NOT engaged in one of these kinds
of businesses, DESCRIBE its business or activity in item
19 AND COMPLETE the report form as accurately as
possible.
DEFINITION OF ESTABLISHMENT
An establishment is generally a single physical location
where business is conducted or where services or
industrial operations are performed. This includes
all locations of a company or organization, including
administrative offices, warehouses, etc., that were in
operation at any time during 2012.

INSTRUCTIONS FOR SELECTED ITEMS
2. PHYSICAL LOCATION
Answer all sections (A through C) of item 2 even if the
mailing address shown is correct.
3. OPERATIONAL STATUS

GENERAL INSTRUCTIONS
• Please report information for each establishment owned
or controlled by the company or organization. If the
company or organization has multiple locations and an
Ownership and Control flyer was included in your
mailing package, please complete the enclosed flyer.
If your mailing package does not include this flyer
and separate report forms are not provided for each
establishment, visit www.census.gov/econhelp or call 1800-233-6136 between 8:00 a.m. and 6:00 p.m., Eastern
time, Monday through Friday, to request additional
report forms. .
• Each report form should cover calendar year 2012.
If book figures are not available, estimates are
acceptable. However, if the accounting fiscal year is
different from the calendar year, fiscal year figures will
be acceptable for all items except payroll (calendar year
figures for payroll should be available from your Internal
Revenue Service (IRS) Form 941, Employer's Quarterly
Federal Tax Return, or Form 944, Employer's Annual
Federal Tax Return). Indicate in item 30 the exact dates
covered.
• If an establishment stopped operating before January
1, 2012, mark (X) the box to indicate "None" in item 4,
indicate action and date in item 3, and return the report
form.
• If an establishment was closed, sold, or leased to
another company or organization during 2012, complete
the report form for the portion of 2012 that the
establishment was operating as part of the company or
organization.
• Receipts/revenue and payroll data should be rounded to
the nearest thousand dollars as illustrated on the report
form.

Mark (X) the one box that best describes the operational
status of the establishment at the end of 2012.
• In operation - The establishment was open and actively
conducting business on December 31, 2012.
• Temporarily or seasonally inactive - Although
not conducting business at the end of 2012, the
establishment will eventually reopen and conduct
business under the same Employer Identification Number
(EIN). Examples include businesses in resort areas that
close during the "off-season" or establishments that
temporarily close for remodeling.
• Ceased operation - The establishment has gone out of
business or closed and does not plan to reopen. Provide
the month, day, and year that the establishment ceased
operation. Complete all items for the portion of 2012
during which the establishment was in operation.
• Sold or leased to another operator - The
establishment was sold or leased to another company or
organization. Provide the month, day, and year that
the change occurred and indicate the name, address, and
EIN of the new owner or operator. Complete all items
for the portion of 2012 prior to the change in operator.
• Other - The establishment's operational status at the end
of 2012 is not accurately described above. Please specify
a description of the establishment's operational status in
the space provided.

Page 1
SV-SM(I)

PLEASE CONTINUE ON REVERSE

5. SALES, SHIPMENTS, RECEIPTS, OR REVENUE

• Gross contributions, gifts, and grants (whether or not
restricted for use in operations).
• Dues and assessments from members and affiliates.
• Commissions earned from the sale of merchandise owned
by others (including commissions from vending machine
operators).
Gain or loss from the sale of real estate (land and
buildings), investments, or other assets (except inventory
held for resale).
Gross receipts from fundraising activities.

A. Tax status
Sections 501, 521, 527, and 528 of the Internal Revenue
Code are those sections under which the Internal Revenue
Service may grant tax-exempt status to certain types
of "not-for-profit" organizations, such as charitable,
social welfare, educational, or research organizations.
Government establishments should indicate tax-exempt
status although they may be exempt under different
sections of the Internal Revenue Code.

Exclude:
• Sales and other taxes collected directly from customers
or clients and paid directly to a local, state, or federal tax
agency.
• Gross receipts of departments or concessions operated by
other companies.
• Amounts transferred to operating funds from capital or
reserve funds.

B. Operating receipts of this (taxable) establishment
Include:
• Gross receipts from services provided, from the use of
facilities, and from merchandise sold in 2012, whether or
not payment was received in 2012.
• Advertising agencies, travel industries, and other service
establishments operating on a commission basis commissions, fees, and other operating income, NOT
gross billings or sales.
• Hospitals and other health care establishments - net
patient revenue, NOT gross patient revenue.
• Receipts from services performed for FOREIGN parent
firms, subsidiaries, branches, etc.
• Rental of nonresidential space in buildings and facilities,
including this establishment's share of receipts from
departments, concessions, and vending and amusement
machines operated by others.
• Receipts from the rental and leasing of vehicles,
equipment, instruments, tools, etc.
• Total value of service contracts.
• Market value of compensation received in lieu of cash.
• Amounts received for work subcontracted to others.
• Dues and assessments from members and affiliates.
• Sale or licensing of rights to intellectual property
protected by copyright or as industrial property (e.g.,
patents, trademarks).

2. Expenses
Include:
• Payroll, employee benefits, and payroll taxes.
• Contracted or purchased services.
• Fundraising expenses, including direct expenses for
special fundraising events.
• Depreciation expenses.
• Rent, supplies used for operating, cost of merchandise
sold, and other expenses allocated to operations during
2012.
• Program service grants, contributions and gifts paid,
specific assistance to individuals, and benefits paid to or
for members.
• Assessments (dues) paid to the parent or other chapters
of the same organization.
• For establishments engaged in raising funds - funds
transferred to charities or other organizations for
charitable purposes.

Exclude:
• Sales and other taxes (including Hawaii¿s General Excise
Tax) collected directly from customers or clients and paid
directly to a local, state, or federal tax agency.
• Sales of used equipment previously rented or leased to
customers.
• Proceeds from the sale of real estate (land and buildings),
investments, or other assets (except inventory held for
resale).
• Income from interest, real estate investments, dividends,
contributions, and grants.
• Gross receipts from departments or concessions operated
by others.
• Domestic intracompany transfers.
• Receipts of foreign parent firms and subsidiaries.
• Other nonoperating income.

Exclude:
• Outlays for the purchase of real estate (land and
buildings); for construction; for additions, major
alterations, and improvements to existing facilities; and all
other capital expenditures.
• Funds invested.
• Income taxes.
• Sales and other taxes collected directly from customers
or clients and paid directly to a local, state, or federal tax
agency.
• Interest paid, bad debt, and inventory impairment.
7. EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the Internal
Revenue Service (IRS) Forms 941 and 944, and as described
in Circular E, Employer's Tax Guide.

C. Revenue and expenses of this (tax-exempt)
establishment

If employees worked at more than one location, report
employment and payroll for employees at the ONE location
where they spent most of their working time.

1. Revenue
Include:
• Program service revenue for services provided in 2012,
whether or not payment was received in 2012.
• Gross sales of merchandise, minus returns and
allowances.
• Income from interest, dividends, gross rents (including
display space rentals and share of receipts from
departments operated by other companies), royalties, and
other investments.

A. Employment
Include:
• All full- and part-time employees on the payroll during the
pay period including March 12, 2012.
• Salaried officers and executives of a corporation.

Page 2
SV-SM(I) (DRAFT)

PLEASE CONTINUE ON NEXT PAGE

• Salaried members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal income
tax return).
• Employees on paid sick leave, paid vacations, and paid
holidays.

• Salaries of officers and executives of a corporation.
• Salaries of members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal
income tax return).
• Employee contributions to qualified pension plans.
• The spread on stock options that is taxable to
employees as income.

Exclude:
• Proprietors or partners of an unincorporated company.
• Employees of departments or concessions operated by
other companies at the establishment.
• Full- and part-time leased employees whose payroll was
filed under an employee leasing company's Employer
Identification Number (EIN).
• Temporary staffing obtained from a staffing service.
• Independent contractors.
B. Payroll

Exclude:
• Payments to or withdrawals by proprietors or partners
of an unincorporated company.
• Annuities or supplemental unemployment
compensation benefits, even if income tax was
withheld.
• Payrolls of departments or concessions operated by
other companies at the establishment.

Include:

19. KIND OF BUSINESS

• Wages, salaries, tips, vacation allowances, bonuses,
commissions, and other compensation paid to employees
during 2012 and reported on IRS Forms 941 or 944 as
taxable Medicare Wages and tips (even if not subject to
income or FICA tax).

Choose the one kind of business that best describes the
establishment in 2012. If none of the provided selections
seem appropriate, provide a specific description of the
primary business activity.

Page 3
SV-SM(I) (DRAFT)

Attachment D-3
2012 Economic Census

Professional, Scientific, and Technical Services; Administrative and Support and
Waste Management and Remediation Services; and Other Services (Except Public
Administration) Sectors

Information Sheet for Taxable Enterprise Support Establishments
SV-ST (A)

SV-ST(A)

U.S. DEPARTMENT OF COMMERCE

(DRAFT)

Economics and Statistics Administration

U.S. CENSUS BUREAU

2012 ECONOMIC CENSUS

Professional, Scientific, and Technical Services; Administrative and Support and Waste Management
and Remediation Services;and Other Services, except Public Administration Sectors
(Enterprise Support)
INFORMATION SHEET
Need help or have questions about filling out the form?
Visitwww.census.gov/econhelp
Or Call

1-800-233-6136, between 8:00 a.m. and 6:00 p.m., Eastern time, Monday through Friday.

This 2012 Economic Census information sheet covers
"enterprise support" establishments engaged in the
following areas of economic activity:
• Professional, Scientific, and Technical Services
• Administrative and Support and Waste Management and
Remediation Services
• Other Services, except Public Administration
(including establishments engaged in Repair and
Maintenance; Personal and Laundry Services; and
Religious, Grantmaking, Civic, and Other Membership
Organizations)
If an establishment is NOT engaged in one of these kinds
of businesses, DESCRIBE its business or activity in item
19 AND COMPLETE the report form as accurately as
possible.
DEFINITION OF ESTABLISHMENT
An establishment is generally a single physical location
where business is conducted or where services or
industrial operations are performed. This includes
all locations of a company or organization, including
administrative offices, warehouses, etc., that were in
operation at any time during 2012.
DEFINITION OF AN ENTERPRISE
An enterprise or company is a business, service, or
membership organization consisting of one or more
establishments within the United States under common
ownership or control. It includes all establishments of
subsidiary companies, where there is more than 50 percent
ownership, as well as establishments of firms which the
enterprise has the power to direct or cause the direction of
management and policies.
DEFINITION OF AN ENTERPRISE SUPPORT
ESTABLISHMENT
An enterprise support establishment is an
establishment that is primarily engaged in performing
management, supervision, general administrative
functions, and supporting services for other establishments
of the same enterprise, rather than for the general public
or other business firms.
GENERAL INSTRUCTIONS
• Complete a separate report form for each establishment
owned or controlled by the company or organization.
If a separate report form was not received for each
establishment, visit www.census.gov/econhelp or call
1-800-233-6136 between 8:00 a.m. and 6:00 p.m., Eastern
time, Monday through Friday, to request additional
report forms.
• Each report form should cover calendar year 2012.
If book figures are not available, estimates are
acceptable. If your fiscal year covers at least 10
months of calendar year 2012, you may report all items
except payroll on a fiscal year basis. Calendar year
figures for payroll should be available from your Internal
Revenue Service (IRS) Form 941, Employer's Quarterly
Federal Tax Return, or Form 944, Employer's Anual
Federal tax Return. Indicate in item 30 the exact dates
covered.
SV-ST(A)

• If an establishment stopped operating before January
1, 2012, mark (X) the box to indicate "None" in item 4,
indicate action and date in item 3, and return the report
form.
• If an establishment was closed, sold, or leased to another
company or organization during 2012, complete the
• report form for the portion of 2012 that the establishment
was operating as part of your company or organization.
• Receipts and payroll data should be rounded to the
nearest thousand dollars as illustrated on the report
form.
• If there are any questions or if any communication
regarding the report form is necessary, reference the 11digit Census File Number (CFN) printed in the mailing
address section on the first page of the consolidated
report form.
• Please photocopy each report form for your records and
return the originals.
• Public reporting burden for this collection of information
is estimated to vary from 18 minutes to 9 hours and 30
minutes per response, with an average of 1 hour and 6
minutes 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. Send comments
regarding this burden estimate or any other aspect of
this collection of information, including suggestions for
reducing this burden, to: Paperwork Project 0607-0934,
U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138,
Washington, DC 20233. You may e-mail comments to
Paperwork@census.gov; use "Paperwork Project 06070934" 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 report form.
INSTRUCTIONS FOR SELECTED ITEMS
2. PHYSICAL LOCATION
Answer all sections (A through C) of item 2 even if the
mailing address shown is correct.
3. OPERATIONAL STATUS
Mark (X) the one box that best describes the operational
status of the establishment at the end of 2012.
• In operation - The establishment was open and actively
conducting business on December 31, 2012.
• Temporarily or seasonally inactive - Although
not conducting business at the end of 2012, the
establishment will eventually reopen and conduct
business under the same Employer Identification Number
(EIN). Examples include businesses in resort areas that
close during the "off-season" or establishments that
temporarily close for remodeling.

• Ceased operation - The establishment has gone out of
business or closed and does not plan to reopen. Provide
the month, day, and year that the establishment ceased
operation. Complete all items for the portion of 2012
during which the establishment was in operation.
• Sold or leased to another operator - The establishment
was sold or leased to another company or organization.
Provide the month, day, and year that the change
occurred and indicate the name, address, and EIN of
the new owner or operator. Complete all items for the
portion of 2012 prior to the change in operator.
• Other - The establishment's operational status at the end
of 2012 is not accurately described above. Please specify
a description of the establishment's operational status in
the space provided.
5. SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Include:
• Gross receipts from services provided, from the use of
facilities, and from merchandise sold in 2012, whether or
not payment was received in 2012.
• Advertising agencies, travel industries, and other service
establishments operating on a commission basis commissions, fees, and other operating income, NOT
gross billings or sales.
• Receipts from services performed for FOREIGN parent
firms, subsidiaries, branches, etc.
• Rental of nonresidential space in buildings and facilities,
including this establishment's share of receipts from
departments, concessions, and vending and amusement
machines operated by others.
• Receipts from the rental and leasing of vehicles,
equipment, instruments, tools, etc.
• Total value of service contracts.
• Market value of compensation received in lieu of cash.
• Amounts received for work subcontracted to others.
• Dues and assessments from members and affiliates.
• Sale or licensing of rights to intellectual property
protected by copyright or as industrial property (e.g.,
patents, trademarks).
Exclude
• Sales and other taxes (including Hawaii's General Excise
Tax) collected directly from customers or clients and paid
directly to a local, state, or federal tax agency.
• Sales of used equipment previously rented or leased to
customers.
• Proceeds from the sale of real estate (land and buildings),
investments, or other assets (except inventory held for
resale).
• Income from interest, real estate investments, dividends,
contributions, and grants.
• Gross receipts from departments or concessions operated
by others.
• Domestic intracompany transfers.
• Receipts of foreign parent firms and subsidiaries.
• Other nonoperating income.
7. EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the Internal
Revenue Service (IRS) Forms 941 and 944, and as described
in Circular E, Employer's Tax Guide.
If employees worked at more than one location, report
employment and payroll for employees at the ONE location
where they spent most of their working time.

SV_ST(A) (DRAFT)

A. Employment
Include:
• All full- and part-time employees on the payroll during the
pay period including March 12, 2012.
• Salaried officers and executives of a corporation.
• Salaried members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal income
tax return).
• Employees on paid sick leave, paid vacations, and paid
holidays.
Exclude:
• Proprietors or partners of an unincorporated company.
• Employees of departments or concessions operated by
other companies at the establishment.
• Full- and part-time leased employees whose payroll was
filed under an employee leasing company¿s Employer
Identification Number (EIN).
• Temporary staffing obtained from a staffing service.
• Independent contractors.
B. Payroll
Include:
• Wages, salaries, tips, vacation allowances, bonuses,
commissions, and other compensation paid to employees
during 2012 and reported on IRS Forms 941 or 944 as
taxable Medicare Wages and tips (even if not subject to
income or FICA tax).
• Salaries of officers and executives of a corporation.
• Salaries of members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal income
tax return).
• Employee contributions to qualified pension plans.
• The spread on stock options that is taxable to employees
as income.
Exclude:
• Employer's cost for payroll taxes, employer paid
insurance premiums, pension plans, and other employer
benefits.
• Payments to or withdrawals by proprietors or partners of
an unincorporated company.
• Annuities or supplemental unemployment compensation
benefits, even if income tax was withheld.
• Payrolls of departments or concessions operated by other
companies at the establishment.
16. SELECTED EXPENSES
Report only those expenses directly attributable to this
establishment in column 1. Establishments engaged in
performing management and administrative services
for other establishments of the same enterprise should
report payments made by this establishment for selected
categories of expenses incurred by other establishments of
your enterprise in column 2.
19. KIND OF BUSINESS
Choose the one kind of business that best describes the
establishment in 2012. If none of the provided selections
seem appropriate, provide a specific description of the
primary business activity.

Attachment D-4
2012 Economic Census

Information Sector

Information Sheet for Standard Information Sector Establishments
SV-SI (I)

SV-SI(I)

U.S. DEPARTMENT OF COMMERCE

(DRAFT)

Economics and Statistics Administration

U.S. CENSUS BUREAU

2012 ECONOMIC CENSUS
Information Sector

INFORMATION SHEET
This 2012 Economic Census information sheet covers
establishments engaged in the following areas of economic
activity:
•
•
•
•

• Public reporting burden for this collection of information
is estimated to vary from 18 minutes to 5 hours
and 6 minutes per response, with an average of 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. Send comments
regarding this burden estimate or any other aspect of
this collection of information, including suggestions for
reducing this burden, to: Paperwork Project 0607-0934,
U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138,
Washington, DC 20233. You may e-mail comments to
Paperwork@census.gov; use "Paperwork Project 06070934" as the subject.

Publishing
Motion Picture and Sound Recording
Broadcasting and Telecommunications
Information Services and Data Processing Services

If an establishment is NOT engaged in one of these kinds
of businesses, DESCRIBE its business or activity in item
19 AND COMPLETE the report form as accurately as
possible.
DEFINITION OF ESTABLISHMENT
An establishment is generally a single physical location
where business is conducted or where services or
industrial operations are performed. This includes
all locations of a company or organization, including
administrative offices, warehouses, etc., that were in
operation at any time during 2012. Locations with no paid
employees, including broadcasting antennas, telephone
relay and switching stations, and other similar facilities, are
not considered separate establishments.

• 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 report form.
INSTRUCTIONS FOR SELECTED ITEMS
2. PHYSICAL LOCATION
Answer all selections (A thorugh C) of item 2 even if the
mailing address shown is correct.

GENERAL INSTRUCTIONS

3. OPERATIONAL STATUS

• Please report information for each establishment owned
or controlled by the company or organization. If the
company or organization has multiple locations and an
Ownership and Control flyer was included in your
mailing package, please complete the enclosed flyer.
If your mailing package does not include this flyer
and separate report forms are not provided for each
establishment, visit www.census.gov/econhelp or call 1800-233-6136 between 8:00 a.m. and 6:00 p.m., Eastern
time, Monday through Friday, to request additional
report forms.

Mark (X) the one box that best describes the operational
status of the establishment at the end of 2012.
• In operation - The establishment was open and actively
conducting business on December 31, 2012.
• Temporarily or seasonally inactive - Although
not conducting business at the end of 2012, the
establishment will eventually reopen and conduct
business under the same Employer Identification Number
(EIN). Examples include businesses in resort areas that
close during the "off-season" or establishments that
temporarily close for remodeling.

• Each report form should cover calendar year 2012.
If book figures are not available, estimates are
acceptable. However, if the accounting fiscal year is
different from the calendar year, fiscal year figures will
be acceptable for all items except payroll (calendar year
figures for payroll should be available from your Internal
Revenue Service (IRS) Form 941, Employer¿s Quarterly
Federal Tax Return, or Form 944, Employer¿s Annual
Federal Tax Return). Indicate in item 30 the exact dates
covered.

• Ceased operation - The establishment has gone out of
business or closed and does not plan to reopen. Provide
the month, day, and year that the establishment ceased
operation. Complete all items for the portion of 2012
during which the establishment was in operation.
• Sold or leased to another operator - The
establishment was sold or leased to another company or
organization. Provide the month, day, and year that
the change occurred and indicate the name, address, and
EIN of the new owner or operator. Complete all items
for the portion of 2012 prior to the change in operator.

• If an establishment stopped operating before January
1, 2012, mark (X) the box to indicate "None" in item 4,
indicate action and date in item 3, and return the report
form.

• Other - The establishment's operational status at the end
of 2012 is not accurately described above. Please specify
a description of the establishment's operational status in
the space provided.

• If an establishment was closed, sold, or leased to
another company or organization during 2012, complete
the report form for the portion of 2012 that the
establishment was operating as part of the company or
organization.

5. SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Include:
• Gross receipts from services provided, from the use of
facilities, and from merchandise sold in 2012, whether or
not payment was received in 2012.

• Receipts and payroll data should be rounded to the
nearest thousand dollars as illustrated on the report
form.
• If there are any questions or if any communication
regarding a report form is necessary, reference the 11digit Census File Number (CFN) shown in the mailing
address.

• Sale or licensing of rights to intellectual property
protected by copyright (e.g., literary works, software,
audio visual works, musical compositions and
recordings, etc.) or as industrial property (e.g., patents,
trademarks).

• Please photocopy each report form for your records and
return the originals.
SV-SI(I)

Page 1

PLEASE CONTINUE ON REVERSE

• Advertising sales.
• Sales of goods and services marketed through sales
offices.
• Sales to and receipts from FOREIGN parent firms,
subsidiaries, branches, etc.
• Rental of nonresidential space in buildings and facilities,
including this establishment's share of receipts from
departments, concessions, and vending and amusement
machines operated by others.
• Receipts from the rental and leasing of vehicles,
equipment, instruments, tools, etc.
• Total value of service contracts.
• Market value of compensation received in lieu of cash.
Amounts received for work subcontracted to others.
• Dues and assessments from members and affiliates.
• Public broadcast stations and libraries should include
contributions, gifts, grants, income from interest, rental of
real estate, and dividends; all others should exclude such
revenues.
Exclude:
• Sales and other taxes (including Hawaii's General Excise
Tax) collected directly from customers or clients and paid
directly to a local, state, or federal tax agency.
• Gross receipts collected on behalf of others.

• Temporary staffing obtained from a staffing service.
• Independent contractors.
B. Payroll
Include:
• Wages, salaries, tips, vacation allowances, bonuses,
commissions, and other compensation paid to employees
during 2012 and reported on IRS Forms 941 or 944 as
taxable Medicare Wages and tips (even if not subject to
income or FICA tax).
• Salaries of officers and executives of a corporation.
• Salaries of members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal income
tax return).
• Employee contributions to qualified pension plans.
• The spread on stock options that is taxable to employees
as income.
Exclude:
• Payments to or withdrawals by proprietors or partners of
an unincorporated company.
• Annuities or supplemental unemployment compensation
benefits, even if income tax was withheld.
• Payrolls of departments or concessions operated by other
companies at the establishment.

• Gross receipts from departments or concessions operated
by others.
• Sales of used equipment previously rented or leased to
customers.
• Proceeds from the sale of real estate (land and buildings),
investments, or other assets (except inventory held for
resale).
• Contributions, gifts, grants, income from interest, real
estate investments, and dividends, except for public
broadcast stations and libraries.
• Domestic intracompany transfers.
• Receipts of foreign parent firms and subsidiaries.
• Other nonoperating income.

9. VALUE OF INVENTORIES
Report the total value of inventories owned by this
establishment on December 31, 2012, and on December
31, 2011, regardless of where held. Exclude the value of
inventories held by this establishment but owned by others.
A. Answer 'Yes' if this establishment had inventories on
the last day of either 2012 or 2011. Answer 'No' if this
establishment had no inventories, or had inventories
during either year but not on the last day of either year.
B. Report the value of inventories owned by this
establishment on December 31, 2012, and on December
31, 2011:

7. EMPLOYMENT AND PAYROLL

1-4 Report the value of inventories by stage of
fabrication owned by the establishment for each
year. If any part of the inventory is valued using the
Last-in, First-out (LIFO) method, report the value of
inventories before any adjustment for LIFO reserve.
5. Report the value of LIFO reserve or allowance
applicable to any amount on line B4 that is valued
using the LIFO method. Establishments that do not
use the LIFO method of inventory valuation should
mark (X) the box to indicate "None".

Definitions are the same as those used on the Internal
Revenue Service (IRS) Forms 941 and 944, and as described
in Circular E, Employer's Tax Guide.
If employees worked at more than one location, report
employment and payroll for employees at the ONE location
where they spent most of their working time.
A. Employment
Include:

6. Report the total value of inventories after any LIFO
adjustment. This should equal line B4 minus
line B5. Establishments that do not use the LIFO
method of valuation should report the same value
on lines B4 and B6.
10. INVENTORIES BY VALUATION METHOD

• All full- and part-time employees on the payroll during the
pay period including March 12, 2012.
• Salaried officers and executives of a corporation.
• Salaried members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal income
tax return).
• Employees on paid sick leave, paid vacations, and paid
holidays.

Report the value of inventories reported in item 9, line B4,
for each of the following valuation methods:
A. Last-in, First-out (LIFO)
B. First-in, First-out (FIFO)
C. Average cost
D. Standard cost
E. Other valuation method - Specify other method of
valuation (including market, specific, or actual cost in the
space provided)

Exclude:
• Proprietors or partners of an unincorporated company.
• Employees of departments or concessions operated by
other companies at the establishment.
• Full- and part-time leased employees whose payroll was
filed under an employee leasing company's Employer
Identification Number (EIN).

F. Total of lines 10A through 10E should equal item 9,
line B4.
Page 2

SV-SI(I) (DRAFT)

19. KIND OF BUSINESS
Choose the one kind of business that best describes the
establishment in 2012. If none of the provided selections
seem appropriate, provide a specific description of the
primary business activity.

SV-SI(I) (DRAFT)

Page 3

Attachment D-5
2012 Economic Census

Information Sector

Information Sheet for Information Sector Enterprise Support Establishments
SV-SI (A)

SV-SI(A)

U.S. DEPARTMENT OF COMMERCE

(DRAFT)

Economics and Statistics Administration

U.S. CENSUS BUREAU

2012 ECONOMIC CENSUS
Information Sector
(Enterprise Support)
INFORMATION SHEET
Or Call

Need help or have questions about filling out the form?
Visitwww.census.gov/econhelp
1-800-233-6136, between 8:00 a.m. and 6:00 p.m., Eastern time, Monday through Friday.

This 2012 Economic Census information sheet covers
"enterprise support" establishments engaged in the
following areas of economic activity:

• Receipts and payroll data should be rounded to the
nearest thousand dollars as illustrated on the report
form.

• Data Processing, Hosting, and Related Services

• If there are any questions or if any communication
regarding the report form is necessary, reference the 11• digit Census File Number (CFN) printed in the mailing
address section on the first page of the consolidated
report form.
• Please photocopy each report form for your records and
return the originals.

If an establishment is NOT engaged in one of these kinds
of businesses, DESCRIBE its business or activity in item
19 AND COMPLETE the report form as accurately as
possible.
DEFINITION OF ESTABLISHMENT
An establishment is generally a single physical location
where business is conducted or where services or
industrial operations are performed. This includes
all locations of a company or organization, including
administrative offices, warehouses, etc., that were in
operation at any time during 2012.

• Public reporting burden for this collection of information
is estimated to vary from 18 minutes to 9 hours and 30
minutes per response, with an average of 1 hour and 6
minutes 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. Send comments
regarding this burden estimate or any other aspect of
this collection of information, including suggestions for
reducing this burden, to: Paperwork Project 0607-0934,
U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138,
Washington, DC 20233. You may e-mail comments to
Paperwork@census.gov; use "Paperwork Project 06070934" 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 report form.
INSTRUCTIONS FOR SELECTED ITEMS

DEFINITION OF AN ENTERPRISE
An enterprise or company is a business, service, or
membership organization consisting of one or more
establishments within the United States under common
ownership or control. It includes all establishments of
subsidiary companies, where there is more than 50 percent
ownership, as well as establishments of firms which the
enterprise has the power to direct or cause the direction of
management and policies.
DEFINITION OF AN ENTERPRISE SUPPORT
ESTABLISHMENT
An enterprise support establishment is an
establishment that is primarily engaged in performing
management, supervision, general administrative
functions, and supporting services for other establishments
of the same enterprise, rather than for the general public
or other business firms.

2. PHYSICAL LOCATION
Answer all sections (A through C) of item 2 even if the
mailing address shown is correct.

GENERAL INSTRUCTIONS
• Complete a separate report form for each establishment
owned or controlled by the company or organization.
If a separate report form was not received for each
establishment, visit www.census.gov/econhelp or call
1-800-233-6136 between 8:00 a.m. and 6:00 p.m., Eastern
time, Monday through Friday, to request additional
report forms.
• Each report form should cover calendar year 2012.
If book figures are not available, estimates are
acceptable. If your fiscal year covers at least 10
months of calendar year 2012, you may report all items
except payroll on a fiscal year basis. Calendar year
figures for payroll should be available from your Internal
Revenue Service (IRS) Form 941, Employer's Quarterly
Federal Tax Return, or Form 944, Employer's Anual
Federal tax Return. Indicate in item 30 the exact dates
covered.
• If an establishment stopped operating before January
1, 2012, mark (X) the box to indicate "None" in item 4,
indicate action and date in item 3, and return the report
form.
• If an establishment was closed, sold, or leased to
another company or organization during 2012, complete
the report form for the portion of 2012 that the
establishment was operating as part of your company or
organization.
SV-SI(A)

OPERATIONAL STATUS
Mark (X) the one box that best describes the operational
status of the establishment at the end of 2012.
• In operation - The establishment was open and actively
conducting business on December 31, 2012.
• Temporarily or seasonally inactive - Although
not conducting business at the end of 2012, the
establishment will eventually reopen and conduct
business under the same Employer Identification Number
(EIN). Examples include businesses in resort areas that
close during the "off-season" or establishments that
temporarily close for remodeling.
• Ceased operation - The establishment has gone out of
business or closed and does not plan to reopen. Provide
the month, day, and year that the establishment ceased
operation. Complete all items for the portion of 2012
during which the establishment was in operation.
• Sold or leased to another operator - The
establishment was sold or leased to another company or
organization. Provide the month, day, and year that
the change occurred and indicate the name, address, and
EIN of the new owner or operator. Complete all items
for the portion of 2012 prior to the change in operator.
Page 1

• Other - The establishment's operational status at the end
of 2012 is not accurately described above. Please specify
a description of the establishment's operational status in
the space provided.
5. SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Include:
• Gross receipts from services provided, from the use of
facilities, and from merchandise sold in 2012, whether or
not payment was received in 2012.
• Sale or licensing of rights to intellectual property
protected by copyright (e.g., literary works, software,
audio visual works, musical compositions and recordings,
etc.) or as industrial property (e.g., patents, trademarks).
• Advertising sales.
• Sales of goods and services marketed through sales
offices.
• Sales to and receipts from FOREIGN parent firms,
subsidiaries, branches, etc.
• Rental of nonresidential space in buildings and facilities,
including this establishment's share of receipts from
departments, concessions, and vending and amusement
machines operated by others.
• Receipts from the rental and leasing of vehicles,
equipment, instruments, tools, etc.
• Total value of service contracts.
• Market value of compensation received in lieu of cash.
• Amounts received for work subcontracted to others.
• Dues and assessments from members and affiliates.
Exclude
• Sales and other taxes (including Hawaii's General Excise
Tax) collected directly from customers or clients and paid
directly to a local, state, or federal tax agency.
• Gross receipts collected on belhalf of others.
• Gross receipts from departments or concessions operated
by others.
• Sales of used equipment previously rented or leased to
customers.

• Salaried officers and executives of a corporation.
• Salaried members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal income
tax return).
• Employees on paid sick leave, paid vacations, and paid
holidays.
Exclude:
• Proprietors or partners of an unincorporated company.
• Employees of departments or concessions operated by
other companies at the establishment.
• Full- and part-time leased employees whose payroll was
filed under an employee leasing company¿s Employer
Identification Number (EIN).
• Temporary staffing obtained from a staffing service.
• Independent contractors.
B. Payroll
Include:
• Wages, salaries, tips, vacation allowances, bonuses,
commissions, and other compensation paid to employees
during 2012 and reported on IRS Forms 941 or 944 as
taxable Medicare Wages and tips (even if not subject to
income or FICA tax).
• Salaries of officers and executives of a corporation.
• Salaries of members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal income
tax return).
• Employee contributions to qualified pension plans.
• The spread on stock options that is taxable to employees
as income.
Exclude:
• Employer's cost for payroll taxes, employer paid
insurance premiums, pension plans, and other employer
benefits.
• Payments to or withdrawals by proprietors or partners of
an unincorporated company.
• Annuities or supplemental unemployment compensation
benefits, even if income tax was withheld.

• Proceeds from the sale of real estate (land and buildings),
investments, or other assets (except inventory held for
resale).

• Payrolls of departments or concessions operated by other
companies at the establishment.

• Contributions, gifts, grants, and income from interest, real
estate investments, and dividends.

16. SELECTED EXPENSES

• Domestic intracompany transfers.
• Receipts of foreign parent firms and subsidiaries.
• Other nonoperating income.
7. EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the Internal
Revenue Service (IRS) Forms 941 and 944, and as described
in Circular E, Employer¿s Tax Guide.
If employees worked at more than one location, report
employment and payroll for employees at the ONE location
where they spent most of their working time.
A. Employment
Include:
• All full- and part-time employees on the payroll during the
pay period including March 12, 2012.

SV_SI(A) (DRAFT)

Report only those expenses directly attributable to this
establishment in column 1. Establishments engaged in
performing management and administrative services
for other establishments of the same enterprise should
report payments made by this establishment for selected
categories of expenses incurred by other establishments of
your enterprise in column 2.
19. KIND OF BUSINESS
Choose the one kind of business that best describes the
establishment in 2012. If none of the provided selections
seem appropriate, provide a specific description of the
primary business activity.

Attachment D-6
2012 Economic Census

Information Sector

Information Sheets for Information Sector Consolidated Establishments
SV-IR (Q), SV-MP (Q), SV-TC (Q)

SV-IR(Q)

U.S. DEPARTMENT OF COMMERCE

(DRAFT)

Economics and Statistics Administration

U.S. CENSUS BUREAU

2012 ECONOMIC CENSUS

Integrated Record Production and Distribution
Consolidated Report Forms
INFORMATION SHEET
This 2012 Economic Census information sheet covers
establishments engaged in the following areas of economic
activity:

• Please photocopy each report form for your records and
return the originals.
• Public reporting burden for this collection of information
is estimated to vary from 18 minutes to 9 hours and 30
minutes per response, with an average of 1 hour and 6
minutes 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. Send comments
regarding this burden estimate or any other aspect of
this collection of information, including suggestions for
reducing this burden, to: Paperwork Project 0607-0934,
U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138,
Washington, DC 20233. You may e-mail comments to
Paperwork@census.gov; use "Paperwork Project 06070934" as the subject.

• Integrated Record Production/Distribution
This report form requests data for activities conducted in
the United States during 2012.
If the consolidated report form does NOT seem to apply
to an activity engaged in by this company, DESCRIBE
the business or activity in item 19 AND COMPLETE the
report form. Complete items 28A and 28B as accurately
as possible. In many cases this will satisfy Census Bureau
requirements.
DEFINITION OF A CONSOLIDATED REPORTING UNIT
A consolidated reporting unit is the grouping of all the
domestic establishments of a company that operate in a
specific industry (major activity) into a single reporting
unit. Establishments are generally single physical
locations. The consolidated reporting unit includes all
the establishments of a company that contribute to the
production of goods or services covered by the industry
(major activity) specified in the mailing address section of
the consolidated report form.

• 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 report form.
INSTRUCTIONS FOR SELECTED ITEMS
5. SALES, SHIPMENTS, RECEIPTS, OR REVENUE

GENERAL INSTRUCTIONS

Report total operating receipts for the company's United
States locations engaged in the industry printed in
the mailing address section on the first page of the
consolidated report form. Receipts should be reported in
thousands of dollars.

• Complete the report form for all locations operating in
the industry printed in the mailing address section on
the first page of the consolidated report form, for the
United States, including the fifty States and the District
of Columbia. Do not include United States possessions
or territories.

Report total consolidated receipts derived from
releasing and distributing sound recordings (e.g.,
compact discs, audio tapes, phonographs), including
recordings marketed through sales offices that
receive and report on their own census report form
(such as, WH-42341) and are not pre-identified in item
28A.
Include:
• Gross receipts from services provided, from the use of
facilities, and from merchandise sold in 2012, whether
or not payment was received in 2012. Includes royalties,
license fees, and other payments from the marketing of
intangible products (e.g., licensing the use of or granting
reproduction rights for software, musical compositions
and recordings, and other intellectual property).

• The report form should cover calendar year 2012.
If book figures are not available, estimates are
acceptable. However, if the accounting fiscal year is
different from the calendar year, fiscal year figures will
be acceptable for all items except payroll (calendar year
figures for payroll, for each location, should be available
from your Internal Revenue Service (IRS) Form 941,
Employer's Quarterly Federal Tax Return, or Form 944,
Employer's Annual Federal Tax Return). Indicate in item
30 the exact dates covered.
• If an establishment listed in item 28A stopped operating
in the major activity printed, before January 1, 2012,
indicate action and date in column (c) of the Preidentified Locations of Operation supplement (item 28A).

• Sale or licensing of rights to intellectual property
protected by copyright (e.g., literary works, software,
audio visual works, musical compositions and
recordings, etc.) or as industrial property (e.g., patents,
trademarks).

• If an establishment listed in item 28A was closed,
sold, or leased to another company or organization
during 2012, complete column (b) for the portion of
2012 that the location operated in the major activity
printed. Indicate action and date in column (c) of the
Pre-identified Locations of Operation supplement (item
28A).

• Sales to and receipts from FOREIGN parent firms,
subsidiaries, branches, etc.
• Rental of nonresidential space in buildings and facilities,
including this establishment's share of receipts from
departments, concessions, and vending and amusement
machines operated by others.

• Receipts and payroll data should be rounded to the
nearest thousand dollars as illustrated on the report
form.
• If there are any questions or if any communication
regarding the report form is necessary, reference the 11digit Census File Number (CFN) printed in the mailing
address section on the first page of the consolidated
report form.

• Receipts from the rental and leasing of vehicles,
equipment, instruments, tools, etc.
• Total value of service contracts.
• Market value of compensation received in lieu of cash.

Page 1
SV-IR(Q)

9. VALUE OF INVENTORIES

• Amounts received for work subcontracted to others.
• Dues and assessments from members and affiliates.

Report the total value of inventories owned by this
consolidated reporting unit on December 31, 2012, and on
December 31, 2011, regardless of where held. Exclude the
value of inventories held by this consolidated reporting unit
but owned by others.

Exclude:
• Sales and other taxes (including Hawaii's General Excise
Tax) collected directly from customers or clients and paid
directly to a local, state, or federal tax agency.
• Gross receipts collected on behalf of others.
• Gross receipts from departments or concessions operated
by others.
• Sales of used equipment previously rented or leased to
customers.
• Proceeds from the sale of real estate (land and buildings),
investments, or other assets (except inventory held for
resale).
• Contributions, gifts, grants, and income from interest, real
estate investments, and dividends.
• Domestic intracompany transfers.
• Receipts of foreign parent firms and subsidiaries.
• Other nonoperating income.

A. Answer 'Yes' if this consolidated reporting unit had
inventories on the last day of either 2012 or 2011.
Answer 'No' if this consolidated reporting unit had no
inventories, or had inventories during either year but
not on the last day of either year.
B. Report the value of inventories owned by this
consolidated reporting unit on December 31, 2012, and
on December 31, 2011:
1-4 Report the value of inventories by stage of
fabrication owned by the consolidated reporting
unit for each year. If any part of the inventory
is valued using the Last-in, First-out (LIFO)
method, report the value of inventories before any
adjustment for LIFO reserve.
5.

7. EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the Internal
Revenue Service (IRS) Forms 941 and 944, and as described
in Circular E, Employer's Tax Guide.
If employees worked at more than one location, report
employment and payroll for employees at the ONE location
where they spent most of their working time.

6.

A. Employment
Include:

Report the value of LIFO reserve or allowance
applicable to any amount on line B4 that is valued
using the LIFO method. Consolidated reporting
units that do not use the LIFO method of inventory
valuation should mark (X) the box to indicate
"None".
Report the total value of inventories after any LIFO
adjustment. This should equal line B4 minus line
B5. Consolidated reporting units that do not use
the LIFO method of valuation should report the
same value on lines B4 and B6.

10. INVENTORIES BY VALUATION METHOD
Report the value of inventories reported in item 9, line B4,
for each of the following valuation methods:

• All full- and part-time employees on the payroll during the
pay period including March 12, 2012.
• Salaried officers and executives of a corporation.
• Employees on paid sick leave, paid vacations, and paid
holidays.

A. Last-in, First-out (LIFO)
B. First-in, First-out (FIFO)
C. Average cost
D. Standard cost
E. Other valuation method - Specify other method of
valuation (including market, specific, or actual cost in
the space provided)
F. Total of lines 10A through 10E should equal item 9,
line B4.

Exclude:
• Proprietors or partners of an unincorporated company.
• Full- and part-time leased employees whose payroll was
filed under an employee leasing company's Employer
Identification Number (EIN).
• Temporary staffing obtained from a staffing service.
• Independent contractors.
B. Payroll

19. KIND OF BUSINESS

Include:

Choose the one kind of business that best describes the
primary business activity of this consolidated reporting
unit in 2012. If none of the provided selections seem
appropriate, provide a specific description of the primary
business activity.

• Wages, salaries, tips, vacation allowances, bonuses,
commissions, and other compensation paid to employees
during 2012 and reported on IRS Forms 941 or 944 as
taxable Medicare Wages and tips (even if not subject to
income or FICA tax).
• Salaries of officers and executives of a corporation.
• Employee contributions to qualified pension plans.
• The spread on stock options that is taxable to employees
as income.

28. LOCATIONS OF Operation
A. Pre-identified Locations of Operation
We pre-listed physical locations of your company that are
part of this consolidated reporting unit based on Census
records. Please bring this list up to date as follows:
• Column (a) - Please correct any errors or omissions in
the pre-listed information. If the major activity listed is
not the major activity of the location, correct the major
activity and do not include this location in the count, item
28C.

Exclude:
• Employer's cost for payroll taxes, employer paid
insurance premiums, pension plans, and other employer
benefits.
• Payments to or withdrawals by proprietors or partners of
an unincorporated company.
• Annuities or supplemental unemployment compensation
benefits, even if income tax was withheld.
• Payrolls of departments or concessions operated by other
companies at the establishment.
SV-IR(Q) (DRAFT)

• Column (b), 2012 Employment and Payroll - Report
separately the number of employees and payroll for each
establishment. Do not combine data for locations.

Page 2

PLEASE CONTINUE ON NEXT PAGE

• Column (c), Operational Status - Mark (X) the one
box that best describes the operational status of the
establishment at the end of 2012.
• In operation - The establishment was open and
actively conducting business on December 31, 2012.
• Temporarily or seasonally inactive - Although
not conducting business at the end of 2012, the
establishment will eventually reopen and conduct
business under the same Employer Identification
Number (EIN). Examples include businesses in
resort areas that close during the "off-season" or
establishments that temporarily close for remodeling.
• Ceased operation - The establishment has gone
out of business or closed and does not plan to
reopen. Provide the month, day, and year that the
establishment ceased operation. Complete all items for
the portion of 2012 during which the establishment was
in operation.
• Sold or leased to another operator - The
establishment was sold or leased to another company
or organization. Provide the month, day, and year
that the change occurred and indicate the name and
address of the new owner or operator. Complete all
items for the portion of 2012 prior to the change in
operator.
• Other - The establishment's operational status at the
end of 2012 is not accurately described above. Please
specify a description of the establishment's operational
status in the space provided.

SV-IR(Q) (DRAFT)

B. Additional Locations of Operation
Provide additional establishments not pre-listed in item
28A that operate in the industry printed in the mailing
address section on the first page of the consolidated
report form.
• If your company operates at locations for which you
receive separate establishment report form(s), do not
add them, but rather complete the other report form(s).
• If additional space is needed to add locations, please
photocopy a blank page of item 28B and provide the
additional locations.
• Column a - List separately any locations of your
company and its subsidiaries that were not included in
item 28A, but were in operation and engaged in the
industry printed in the mailing address section on the
first page of the consolidated report form.
• Column (b), 2012 Employment and Payroll - Report
separately the number of employees and payroll for
each establishment. Do not combine data for locations.
• Column (c1) - Enter the two-digit code from the
MAJOR ACTIVITY CODES list that best describes the
major activity of each location. Please specify the
principal products or services.
• Column (c2) - Provide the name and address of
previous owner and date of purchase for each acquired
establishment listed.
C. Number of Locations
Provide a summation of all establishments pre-listed in
item 28A that are in operation or temporarily inactive,
minus the establishments closed or sold, plus the
establishments added in item 28B

Page 3

SV-MP(Q)

U.S. DEPARTMENT OF COMMERCE

(DRAFT)

Economics and Statistics Administration

U.S. CENSUS BUREAU

2012 ECONOMIC CENSUS

Motion Picture and Video Production and Distribution
Consolidated Report Forms
INFORMATION SHEET
This 2012 Economic Census information sheet covers
"enterprise support" establishments engaged in the
following areas of economic activity:
• Motion Picture and Video Production (including
establishments of production companies distributing
films - whether for own company or for other
companies)
• Motion Picture and Video Distribution (for other
companies only)
This report form requests data for activities conducted in
the United States during 2012.
If an establishment is NOT engaged in one of these kinds
of businesses, DESCRIBE its business or activity in item
19 AND COMPLETE the report form as accurately as
possible.
DEFINITION OF A CONSOLIDATED REPORTING UNIT
A consolidated reporting unit is the grouping of all the
domestic establishments of a company that operate in a
specific industry (major activity) into a single reporting
unit. Establishments are generally single physical
locations. The consolidated reporting unit includes all
the establishments of a company that contribute to the
production of goods or services covered by the industry
(major activity) specified in the mailing address section of
the consolidated report form.
GENERAL INSTRUCTIONS
• Complete the report form for all locations operating in
the industry printed in the mailing address section on
the first page of the consolidated report form, for the
United States, including the fifty States and the District
of Columbia. Do not include United States possessions
or territories.
• The report form should cover calendar year 2012.
If book figures are not available, estimates are
acceptable. However, if the accounting fiscal year is
different from the calendar year, fiscal year figures will
be acceptable for all items except payroll (calendar year
figures for payroll, for each location, should be available
from your Internal Revenue Service (IRS) Form 941,
Employer's Quarterly Federal Tax Return, or Form 944,
Employer's Annual Federal Tax Return). Indicate in item
30 the exact dates covered.
• If an establishment listed in item 28A stopped operating
in the major activity printed, before January 1, 2012,
indicate action and date in column (c) of the Preidentified Locations of Operation supplement (item 28A).
• If an establishment listed in item 28A was closed,
sold, or leased to another company or organization
during 2012, complete column (b) for the portion of
2012 that the location operated in the major activity
printed. Indicate action and date in column (c) of the
Pre-identified Locations of Operation supplement (item
28A).
• Receipts and payroll data should be rounded to the
nearest thousand dollars as illustrated on the report
form.

• If there are any questions or if any communication
regarding the report form is necessary, reference the 11digit Census File Number (CFN) printed in the mailing
address section on the first page of the consolidated
report form.
• Please photocopy each report form for your records and
return the originals.
• Public reporting burden for this collection of information
is estimated to vary from 18 minutes to 9 hours and 30
minutes per response, with an average of 1 hour and 6
minutes 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. Send comments
regarding this burden estimate or any other aspect of
this collection of information, including suggestions for
reducing this burden, to: Paperwork Project 0607-0934,
U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138,
Washington, DC 20233. You may e-mail comments to
Paperwork@census.gov; use "Paperwork Project 06070934" 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 report form.
INSTRUCTIONS FOR SELECTED ITEMS
5. SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Report total operating receipts for the company's United
States locations engaged in the industry printed in
the mailing address section on the first page of the
consolidated report form. Receipts should be reported in
thousands of dollars.
Include:
• Gross receipts from services provided, from the use of
facilities, and from merchandise sold in 2012, whether or
not payment was received in 2012.
• Sale or licensing of rights to intellectual property
protected by copyright (e.g., literary works, software,
audio visual works, musical compositions and
recordings, etc.) or as industrial property (e.g., patents,
trademarks).
• Sales to and receipts from FOREIGN parent firms,
subsidiaries, branches, etc.
• Rental of nonresidential space in buildings and facilities,
including this establishment's share of receipts from
departments, concessions, and vending and amusement
machines operated by others.
• Receipts from the rental and leasing of vehicles,
equipment, instruments, tools, etc.
• Total value of service contracts.
• Market value of compensation received in lieu of cash.
• Amounts received for work subcontracted to others.
• Dues and assessments from members and affiliates.

SV-MP(Q)

Exclude

Exclude:

• Sales and other taxes (including Hawaii's General Excise
Tax) collected directly from customers or clients and paid
directly to a local, state, or federal tax agency.
• Gross receipts collected on behalf of others.
• Gross receipts from departments or concessions operated
by others.
• Sales of used equipment previously rented or leased to
customers.
• Proceeds from the sale of real estate (land and buildings),
investments, or other assets (except inventory held for
resale).
• Contributions, gifts, grants, and income from interest, real
estate investments, and dividends.
• Domestic intracompany transfers.
• Receipts of foreign parent firms and subsidiaries.

• Payments to or withdrawals by proprietors or partners of
an unincorporated company.
• Annuities or supplemental unemployment compensation
benefits, even if income tax was withheld.
• Payrolls of departments or concessions operated by other
companies at the establishment.
9. VALUE OF INVENTORIES
Report the total value of inventories owned by this
consolidated reporting unit on December 31, 2012, and on
December 31, 2012, regardless of where held. Exclude the
value of inventories held by this consolidated reporting unit
but owned by others.
Answer 'Yes' if this consolidated reporting unit had
inventories on the last day of either 2012 or 2013.
Answer 'No' if this consolidated reporting unit had no
inventories, or had inventories during either year but not
on the last day of either year.

• Other nonoperating income.

7. EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the Internal
Revenue Service (IRS) Forms 941 and 944, and as described
in Circular E, Employer's Tax Guide.
If employees worked at more than one location, report
employment and payroll for employees at the ONE location
where they spent most of their working time.
A. Employment
Include:
• All full- and part-time employees on the payroll during the
pay period including March 12, 2012.
• Salaried officers and executives of a corporation.
• Employees on paid sick leave, paid vacations, and paid
holidays.
Exclude:
• Proprietors or partners of an unincorporated company.
• Full- and part-time leased employees whose payroll was
filed under an employee leasing company's Employer
Identification Number (EIN).
• Temporary staffing obtained from a staffing service.
• Independent contractors.
B. Payroll
Include:
• Wages, salaries, tips, vacation allowances, bonuses,
commissions, and other compensation paid to employees
during 2012 and reported on IRS Forms 941 or 944 as
taxable Medicare Wages and tips (even if not subject to
income or FICA tax).
• Salaries of officers and executives of a corporation.

1-4. Report the value of inventories by stage of
fabrication owned by the consolidated reporting
unit for each year. If any part of the inventory
is valued using the Last-in, First-out (LIFO)
method, report the value of inventories before any
adjustment for LIFO reserve.
5. Report the value of LIFO reserve or allowance
applicable to any amount on line B4 that is valued
using the LIFO method. Consolidated reporting
units that do not use the LIFO method of inventory
valuation should mark (X) the box to indicate
"None".
6. Report the total value of inventories after any LIFO
adjustment. This should equal line B4 minus line
B5. Consolidated reporting units that do not use
the LIFO method of valuation should report the
same value on lines B4 and B6.
10. INVENTORIES BY VALUATION METHOD
Report the value of inventories reported in item 9, line B4,
for each of the following valuation methods:
A. Last-in, First-out (LIFO)
B. First-in, First-out (FIFO)
C. Average cost
D. Standard cost
E. Other valuation method --Specify other method of
valuation (including market, specific, or actual cost in the
space provided
F. Total of lines 10A through 10E should equal item 9,
line B4.
19. KIND OF BUSINESS
Choose the one kind of business that best describes the
establishment in 2012. If none of the provided selections
seem appropriate, provide a specific description of the
primary business activity.

• Employee contributions to qualified pension plans.
• The spread on stock options that is taxable to employees
as income.
SV-MP(Q) (DRAFT)

28. LOCATIONS OF OPERATION

SV-TC(Q)

U.S. DEPARTMENT OF COMMERCE

(DRAFT)

Economics and Statistics Administration

U.S. CENSUS BUREAU

2012 ECONOMIC CENSUS

Telecommunications; Cable and Other Program Distribution
Consolidated Report Forms
INFORMATION SHEET
This 2012 Economic Census information sheet covers
establishments engaged in the following areas of economic
activity:
•
•
•
•

• If there are any questions or if any communication
regarding the report form is necessary, reference the 11digit Census File Number (CFN) printed in the mailing
address section on the first page of the consolidated
report form.

Wired Telecommunications Carriers
Paging
Cellular and Other Wireless Telecommunications
Cable and Other Program Distribution

• Please photocopy each report form for your records and
return the originals.
• Public reporting burden for this collection of information
is estimated to vary from 18 minutes to 9 hours and 30
minutes per response, with an average of 1 hour and 6
minutes 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. Send comments
regarding this burden estimate or any other aspect of
this collection of information, including suggestions for
reducing this burden, to: Paperwork Project 0607-0934,
U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138,
Washington, DC 20233. You may e-mail comments to
Paperwork@census.gov; use "Paperwork Project 06070934" as the subject.

This report form requests data for activities conducted in
the United States during 2012.
If the consolidated report form does NOT seem to apply
to an activity engaged in by this company, DESCRIBE
the business or activity in item 19 AND COMPLETE the
report form. Complete items 28A and 28B as accurately
as possible. In many cases this will satisfy Census Bureau
requirements.
DEFINITION OF A CONSOLIDATED REPORTING UNIT
A consolidated reporting unit is the grouping of
all the domestic establishments of a company that
operate in a specific industry (major activity) into a single
reporting unit. Establishments are generally single physical
locations. The consolidated reporting unit includes all
the establishments of a company that contribute to the
production of goods or services covered by the industry
(major activity) specified in the mailing address section of
the consolidated report form.

• 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 report form.
INSTRUCTIONS FOR SELECTED ITEMS

GENERAL INSTRUCTIONS

5. SALES, SHIPMENTS, RECEIPTS, OR REVENUE

• Complete the report form for all locations operating in
the industry printed in the mailing address section on
the first page of the consolidated report form, for the
United States, including the fifty States and the District
of Columbia. Do not include United States possessions
or territories.

Report total operating receipts for the company's United
States locations engaged in the industry printed in
the mailing address section on the first page of the
consolidated report form. Receipts should be reported in
thousands of dollars.
Telephone service companies should exclude receipts
collected on behalf of another company. Include receipts
from international calls originating in the United States
(including that portion paid to foreign countries for
accessing their network); and allowances for uncollected
accounts.

• The report form should cover calendar year 2012.
If book figures are not available, estimates are
acceptable. However, if the accounting fiscal year is
different from the calendar year, fiscal year figures will
be acceptable for all items except payroll (calendar year
figures for payroll, for each location, should be available
from your Internal Revenue Service (IRS) Form 941,
Employer's Quarterly Federal Tax Return, or Form 944,
Employer's Annual Federal Tax Return). Indicate in item
30 the exact dates covered.

Include:
• Gross receipts from services provided, from the use of
facilities, and from merchandise sold in 2012, whether or
not payment was received in 2012.

• If an establishment listed in item 28A stopped operating
in the major activity printed, before January 1, 2007,
indicate action and date in column (c) of the Preidentified Locations of Operation supplement (item 28A).

• Sale or licensing of rights to intellectual property
protected by copyright (e.g., literary works, software,
audio visual works, musical compositions and
recordings, etc.) or as industrial property (e.g., patents,
trademarks).

• If an establishment listed in item 28A was closed,
sold, or leased to another company or organization
during 2012, complete column (b) for the portion of
2012 that the location operated in the major activity
printed. Indicate action and date in column (c) of the
Pre-identified Locations of Operation supplement (item
28A).

• Sales to and receipts from FOREIGN parent firms,
subsidiaries, branches, etc.
• Rental of nonresidential space in buildings and facilities,
including this establishment's share of receipts from
departments, concessions, and vending and amusement
machines operated by others.

• Receipts and payroll data should be rounded to the
nearest thousand dollars as illustrated on the report
form.

• Receipts from the rental and leasing of vehicles,
equipment, instruments, tools, etc.

Page 1
SV-TC(Q)

PLEASE CONTINUE ON REVERSE

•
•
•
•

19. KIND OF BUSINESS

Total value of service contracts.
Market value of compensation received in lieu of cash.
Amounts received for work subcontracted to others.
Dues and assessments from members and affiliates.

• Choose the one kind of business that best describes the
primary business activity of this consolidated reporting
unit in 2012. If none of the provided selections seem
appropriate, provide a specific description of the primary
business activity.

Exclude:

28. LOCATIONS OF OPERATION

• Sales and other taxes (including Hawaii's General Excise
Tax) collected directly from costumers or clients and paid
directly to a local, state, or federal tax agency.
• Gross receipts collected on behalf of others.
• Gross receipts from departments or concessions operated
by others.
• Sales of used equipment
• Proceeds from the sale of real estate (land and buildings),
investments, or other assets (except inventory held for
resale).
• Contributions, gifts, grants, and income from interest, real
estate investments, and dividends.
• Domestic intracompany transfers.
• Receipts of foreign parent firms and subsidiaries.
• Other nonoperating income.

A. Pre-identified Locations of Operation
We prelisted physical locations of your company that are
part of this consolidated reporting unit based on Census
records. Please bring this list up to date as follows:
• Column (a) - Please correct any errors or omissions in
the prelisted information. If the major activity listed is
not the major activity of the location, correct the major
activity and do not include this location in the count, item
28C.
• Column (b), 2012 Employment and Payroll - Report
separately the number of employees and payroll for each
establishment. Do not combine data for locations.
• Column (c), Operational Status - Mark (X) the one
box that best describes the operational status of the
establishment at the end of 2012.
• In operation - The establishment was open and actively
conducting business on December 31, 2012.
• Temporarily or seasonally inactive - Although
not conducting business at the end of 2012, the
establishment will eventually reopen and conduct
business under the same Employer Identification
Number (EIN). Examples include businesses in
resort areas that close during the "off-season" or
establishments that temporarily close for remodeling.
• Ceased operation - The establishment has gone
out of business or closed and does not plan to
reopen. Provide the month, day, and year that the
establishment ceased operation. Complete all items for
the portion of 2007 during which the establishment was
in operation.
• Sold or leased to another operator - The
establishment was sold or leased to another company
or organization. Provide the month, day, and year that
the change occurred and indicate the name and address
of the new owner or operator. Complete all items for
the portion of 2012 prior to the change in operator.
• Other - The establishment¿s operational status at the
end of 2012 is not accurately described above. Please
specify a description of the establishment¿s operational
status in the space provided.

7. EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the Internal
Revenue Service (IRS) Forms 941 and 944, and as described
in Circular E, Employer's Tax Guide.
If employees worked at more than one location, report
employment and payroll for employees at the ONE location
where they spent most of their working time.
A. Employment
Include:
• All full- and part-time employees on the payroll during the
pay period including March 12, 2012.
• Salaried officers and executives of a corporation.
• Employees on paid sick leave, paid vacations, and paid
holidays.
Exclude:
• Proprietors or partners of an unincorporated company.
• Full- and part-time leased employees whose payroll was
filed under an employee leasing company¿s Employer
Identification Number (EIN).
• Temporary staffing obtained from a staffing service.
• Independent contractors.

B. Additional Locations of Operation

B. Payroll

Provide additional establishments not prelisted in item 28A
that operate in the industry printed in the mailing address
section on the first page of the consolidated report form.

Include
• Wages, salaries, tips, vacation allowances, bonuses,
commissions, and other compensation paid to employees
during 2012 and reported on IRS Forms 941 or 944 as
taxable Medicare Wages and tips (even if not subject to
income or FICA tax).
• Salaries of officers and executives of a corporation.
• Employee contributions to qualified pension plans.
• The spread on stock options that is taxable to employees
as income.

• If your company operates at locations for which you
receive separate establishment report form(s), do not add
them, but rather complete the other report form(s).
• If additional space is needed to add locations, please
photocopy a blank page of item 28B and provide the
additional locations.
• Column (a) - List separately any locations of your
company and its subsidiaries that were not included in
item 28A, but were in operation and engaged in the
industry printed in the mailing address section on the first
page of the consolidated report form.

Exclude:
• Payments to or withdrawals by proprietors or partners of
an unincorporated company.
• Annuities or supplemental unemployment compensation
benefits, even if income tax was withheld.
• Payrolls of departments or concessions operated by other
companies at the establishment.

SV-TC(Q) (DRAFT)

• Column (b), 2012 Employment and Payroll - Report
separately the number of employees and payroll for each
establishment. Do not combine data for locations.

Page 2

PLEASE CONTINUE ON NEXT PAGE

• Column (c1) - Enter the two-digit code from the MAJOR
ACTIVITIES CODES list that best describes the major
activity of each location. Please specify the principal
products or services.

• Provide a summation of all establishments prelisted in
item 28A that are in operation or temporarily inactive,
minus the establishments closed or sold, plus the
establishments added in item 28B.

• Column (c2) - Provide the name and address of
previous owner and date of purchase for each acquired
establishment listed.
C. Number of Locations

SV-TC(Q) (DRAFT)

Page 3

PLEASE CONTINUE ON NEXT PAGE

Attachment D-7
2012 Economic Census

Management of Companies and Enterprises Sector

Information Sheet for Management of Companies and Enterprises Sector
Establishments
SV-MN (I)

SV-MN(I)

U.S. DEPARTMENT OF COMMERCE

(DRAFT)

Economics and Statistics Administration

U.S. CENSUS BUREAU

2012 ECONOMIC CENSUS

Management of Companies and Enterprises Sector
INFORMATION SHEET
Need help or have questions about filling out the form?
Visitwww.census.gov/econhelp
Or Call

1-800-233-6136, between 8:00 a.m. and 6:00 p.m., Eastern time, Monday through Friday.

This 2012 Economic Census information sheet covers
establishments engaged in the following areas of economic
activity:
• Management of Companies and Enterprises (including
holding companies)
If an establishment is NOT engaged in this kind of activity,
DESCRIBE its business or activity in item 19 AND
COMPLETE the report form as accurately as possible.
DEFINITION OF ESTABLISHMENT
An establishment is generally a single physical location
where business is conducted or where services or
industrial operations are performed. This includes
all locations of a company or organization, including
administrative offices, warehouses, etc., that were in
operation at any time during 2012.
DEFINITION OF HOLDING COMPANY
A holding company is a company primarily engaged
in holding securities of (or other equity interests in)
companies and enterprises for the purpose of owning
a controlling interest or influencing the management
decisions of these firms. They do not administer, oversee,
or manage other establishments of the company or
enterprise whose securities they hold.
DEFINITION OF AN ENTERPRISE
An enterprise or company is a business, service, or
membership organization consisting of one or more
establishments within the United States under common
ownership or control. It includes all establishments of
subsidiary companies, where there is more than 50 percent
ownership, as well as establishments of firms which the
enterprise has the power to direct or cause the direction of
management and policies.
DEFINITION OF ENTERPRISE SUPPORT ESTABLISHMENT
An enterprise support establishment is an
establishment that is primarily engaged in performing
management, supervision, general administrative
functions, or supporting services for other establishments
of the same enterprise, rather than for the general public
or other business firms.

• Each report form should cover calendar year 2012.
If book figures are not available, estimates are
acceptable. If your fiscal year covers at least 10 months
of calendar year 2012, you may report all items except
payroll on a fiscal year basis. Calendar year figures for
payroll should be available from your Internal Revenue
Service (IRS) Form 941, Employer's Quarterly Federal
Tax Return, or Form 944, Employer's Anual Federal tax
Return. Indicate in item 30 the exact dates covered.
• If an establishment stopped operating before January
1, 2012, mark (X) the box to indicate "None" in item 4,
indicate action and date in item 3, and return the report
form.
• If an establishment was closed, sold, or leased to another
company or organization during 2012, complete the
report form for the portion of 2012 that the establishment
was operating as part of your company or organization.
• Revenue and payroll data should be rounded to the
nearest thousand dollars as illustrated on the report
form.
• If there are any questions or if any communication
regarding a report form is necessary, reference the 11digit Census File Number (CFN) shown in the mailing
address.
• Please photocopy each report form for your records and
return the originals.
• Public reporting burden for this collection of information
is estimated to vary from 18 minutes to 5 hours
and 6 minutes per response, with an average of 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. Send comments
regarding this burden estimate or any other aspect of
this collection of information, including suggestions for
reducing this burden, to: Paperwork Project 0607-0934,
U.S. Census Bureau, 4600 Silver Hill Road, AMSD-3K138,
Washington, DC 20233. You may e-mail comments to
Paperwork@census.gov; use "Paperwork Project 06070934" 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 report form.

GENERAL INSTRUCTIONS

INSTRUCTIONS FOR SELECTED ITEMS

• Please report information for each establishment owned
or controlled by the company or organization. If the
company or organization has multiple locations and an
Ownership and Control flyer was included in your
mailing package, please complete the enclosed flyer.
If your mailing package does not include this flyer
and separate report forms are not provided for each
establishment, visit www.census.gov/econhelp or call 1800-233-6136 between 8:00 a.m. and 6:00 p.m., Eastern
time, Monday through Friday, to request additional
report forms for those establishments.
• Enterprise support establishments should report only for
that establishment and should not report consolidated
data for all establishments of the enterprise.

2. PHYSICAL LOCATION

SV-MN(I)

Answer all sections (A through C) of item 2 even if the
mailing address shown is correct.
3. OPERATIONAL STATUS
Mark (X) the one box that best describes the operational
status of the establishment at the end of 2012.
• In operation - The establishment was open and actively
conducting business on December 31, 2012.

Page 1

PLEASE CONTINUE ON REVERSE

• Temporarily or seasonally inactive - Although not
conducting business at the end of 2012, the establishment
will eventually reopen and conduct business under the
same Employer Identification Number (EIN). Examples
include businesses in resort areas that close during the
"off-season" or establishments that temporarily close for
remodeling.
• Ceased operation - The establishment has gone out of
business or closed and does not plan to reopen. Provide
the month, day, and year that the establishment ceased
operation. Complete all items for the portion of 2012
during which the establishment was in operation.
• Sold or leased to another operator - The
establishment was sold or leased to another company or
organization. Provide the month, day, and year that the
change occurred and indicate the name, address, and EIN
of the new owner or operator. Complete all items for the
portion of 2012 prior to the change in operator.
• Other - The establishment's operational status at the end
of 2012 is not accurately described above. Please specify
a description of the establishment's operational status in
the space provided.

A. Employment
Include:
• All full- and part-time employees on the payroll during the
pay period including March 12, 2012.
• Salaried officers and executives of a corporation.
• Salaried members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal income
tax return).
• Employees on paid sick leave, paid vacations, and paid
holidays.
Exclude:
• Proprietors or partners of an unincorporated company.
• Employees of departments or concessions operated by
other companies at the establishment.
• Full- and part-time leased employees whose payroll was
filed under an employee leasing company's Employer
Identification Number (EIN).
• Temporary staffing obtained from a staffing service.
• Independent contractors.

5. SALES, SHIPMENTS, RECEIPTS, OR REVENUE

B. Payroll

Include:
• Gross receipts from services provided, from the use of
facilities, and from merchandise sold in 2012, whether or
not payment was received in 2012.
• Income from interest, rental of real estate, or dividends.
• Contributions, gifts, and grants of not-for-profit
organizations exempt from federal income tax.

Include:
• Wages, salaries, tips, vacation allowances, bonuses,
commissions, and other compensation paid to employees
during 2012 and reported on IRS Forms 941 or 944 as
taxable Medicare Wages and tips (even if not subject to
income or FICA tax).
• Salaries of officers and executives of a corporation.
• Salaries of members of a professional corporation
or association (operating under state professional
corporation statutes and filing a corporate federal income
tax return).
• Employee contributions to qualified pension plans.
• The spread on stock options that is taxable to employees
as income.

• Receipts from services performed for FOREIGN parent
firms, subsidiaries, branches, etc.
• Rental of nonresidential space in buildings and facilities,
including this establishment's share of receipts from
departments, concessions, and vending and amusement
machines operated by others.
• Receipts from the rental and leasing of vehicles,
equipment, instruments, tools, etc.
• Total value of service contracts.

Exclude:
• Employer's cost for payroll taxes, employer paid
insurance premiums, pension plans, and other employer
benefits.
• Payments to or withdrawals by proprietors or partners of
an unincorporated company.
• Annuities or supplemental unemployment compensation
benefits, even if income tax was withheld.

• Market value of compensation received in lieu of cash.
• Amounts received for work subcontracted to others.
• Sale or licensing of rights to intellectual property
protected by copyright or as industrial property (e.g.,
patents, trademarks).
• Franchise sales, fees, and royalties.
• Gain or loss from the sale of real estate (land and
buildings), investments, or other assets (except inventory
held for resale).

• Payrolls of departments or concessions operated by other
companies at the establishment.
9. VALUE OF INVENTORIES
Report the total value of inventories owned by this
establishment on December 31, 2012, and on December
31, 2011, regardless of where held. Exclude the value of
inventories held by this establishment but owned by others.

Exclude:
• Sales and other taxes (including Hawaii's General Excise
Tax) collected directly from customers or clients and paid
directly to a local, state, or federal tax agency.
• Gross receipts from departments or concessions operated
by others.
• Domestic intracompany transfers.
• Receipts of foreign parent firms and subsidiaries.

A. Answer 'Yes' if this establishment had inventories on
the last day of either 2012 or 2011. Answer 'No' if the
establishment had no inventories, or had inventories
during either year but not on the last day of either year.
B. Report the value of inventories owned by this
establishment on December 31, 2012, and on December
31, 2011:

7. EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the Internal
Revenue Service (IRS) Forms 941 and 944, and as described
in Circular E, Employer's Tax Guide.

1. Report the total value of inventories owned by
this establishment for each year. If any part of the
inventory is valued using the Last-in, First-out (LIFO)
method, report the value of inventories before any
adjustment for LIFO reserve.

If employees worked at more than one location, report
employment and payroll for employees at the ONE location
where they spent most of their working time.

Page 2
SV-MN(I) (DRAFT)

PLEASE CONTINUE ON NEXT PAGE

2. Report the value of LIFO reserve or allowance
applicable to any amount on line B1 that is valued
using the LIFO method. Establishments that do not
use the LIFO method of inventory valuation should
mark (X) the box to indicate "None".
3. Report the total value of inventories after any LIFO
adjustment. This should equal line B1 minus line B2.
Establishments that do not use the LIFO method of
valuation should report the same value on lines B1
and B3.

16. SELECTED EXPENSES
Report only those expenses directly attributable to this
establishment in column 1. Establishments engaged in
performing management and administrative services
for other establishments of the same enterprise should
report payments made by this establishment for selected
categories of expenses incurred by other establishments
of your enterprise in column 2.
19. KIND OF BUSINESS

10. INVENTORIES BY VALUATION METHOD
Report the value of inventories reported in item 9, line B1,
for each of the following valuation methods:

Choose the one kind of business that best describes the
establishment in 2012. If none of the provided selections
seem appropriate, provide a specific description of the
primary business activity.

A. Last-in, First-out (LIFO)
B. First-in, First-out (FIFO)
C. Average cost
D. Standard cost
E. Other valuation method - Specify other method of
valuation (including market, specific, or actual cost in
the space provided)
F. Total of lines 10A through 10E should equal item 9,
line B1.

Page 3
SV-MN(I) (DRAFT)