NC-99530 2011 Ownership or Control Flier

Attachment D
NC-99530

FORM
(DRAFT)

U.S. DEPARTMENT OF COMMERCE

Economics and Statistics Administration

U.S. CENSUS BUREAU

2011 OWNERSHIP OR CONTROL

If not shown, please enter
your 11-digit Census File
Number (CFN) from the
mailing address.

A. Is your company owned or controlled by another domestic company
OR
does your company operate at more than one physical location?
Yes - Complete lines B and C and return this form with your completed 2011 Annual Survey of Manufactures form.
No - Discard this form (NC-99530) and return your completed 2011 Economic Census form.
B. Ownership or control
1. Does another domestic company own more than 50 percent of the voting stock of your company or have the power
to control the management and policies of your company?
Yes - Enter the following information of the owning or controlling company

No - Go to line C

Name of owning or controlling company
Enter Employer Identification
Number (EIN) of owning or
controlling company (9 digits)

-

Home office address (Number and street)

City, town, village, etc.

State

ZIP Code

2. What percent of voting stock was held by the owning or controlling company?
(Mark "X" only ONE box.)
Less than 50%

50%

More than 50%
2011
Number

C. Number of establishments operated at the end of 2011 under the EIN shown to the left of the
mailing address or as corrected in 1 on the first page of the 2011 Economic Census form . . . .
If more than one establishment:

99530016

• Provide the physical location address and other information requested on the back of this form for each location.
• Provide the headquarters location first, followed by all other locations.
• The sum of sales, shipments, receipts, or revenue for all locations should equal the amount reported in 5 of the
Economic Census form.
• The sum of employment and payroll for all locations should equal the amounts reported in 7 of the 2011 Economic
Census form.
For
employees that worked at more than one location, report the employment and payroll data for the employees at
•
the ONE location where they spent most of their working time.

CONTINUE WITH LINE C ON PAGE 2
CONTINUE ON PAGE 2

Form NC-99530

Page 2

(DRAFT)

C. Number of establishments operated at the end of 2011 under the EIN shown to the left of the mailing address or as
corrected in 1 on the first page of the 2011 Economic Census form - Continued
BEFORE YOU BEGIN: If your EIN had more than 3 physical locations at the end of 2011, copy this page and provide the
requested data for all of your locations.
Name

Estimates are acceptable

Secondary name

$ Bil.

Store/Plant No.

2011
Mil.

Thou.

Sales, shipments,
receipts, or revenue
Physical location (Number and street)

1 City, town, village, etc.

2011
Number
State

Number of employees
for pay period including
March 12 . . . . . . . .
2011

ZIP Code

$ Bil.

-

Mil.

Thou.

First quarter payroll
(Jan-Mar 2011) . . .

Describe kind of business at this location
Annual payroll . . .
Name

Estimates are acceptable

Secondary name

$ Bil.

Store/Plant No.

2011
Mil.

Thou.

Sales, shipments,
receipts, or revenue
Physical location (Number and street)

2 City, town, village, etc.

2011
Number
State

Number of employees
for pay period including
March 12 . . . . . . . .
2011

ZIP Code

$ Bil.

-

Mil.

Thou.

First quarter payroll
(Jan-Mar 2011) . . .

Describe kind of business at this location
Annual payroll . . .
Name

Estimates are acceptable

Secondary name

$ Bil.

Store/Plant No.

2011
Mil.

Thou.

99530024

Sales, shipments,
receipts, or revenue
Physical location (Number and street)

3 City, town, village, etc.

2011
Number
State

Number of employees
for pay period including
March 12 . . . . . . . .
2011

ZIP Code

$ Bil.

-

First quarter payroll
(Jan-Mar 2011) . . .

Describe kind of business at this location
Annual payroll . . .

Mil.

Thou.