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pdfU.S. DEPARTMENT OF COMMERCE
IA-98163_I
Economic and Statistics Administration
U.S. Census Bureau
(03/2012)
2012 ECONOMIC CENSUS
GUAM
INFORMATION SHEET
Need help or have questions about filling out the form?
Visit census.gov/econhelp
or Call 1-671-475-7057, between 8:00 a.m. and 6:00 p.m.,
Eastern time, Monday through Friday.
Please reference your 11-digit Census File Number (CFN) printed
on each form with all communications.
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.
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
0607-0937, 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 0607-0937" as the subject.
This 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 the Internal Revenue Service
(IRS) Form 941-SS, Employer’s Quarterly Federal Tax
Return). Indicate in item 30 the exact dates covered.
You are not required to respond to any information
collection 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
If an establishment stopped operating before January 1,
2012, indicate action and date in item 3, mark “X” the box to
indicate “none” in item 4, and continue to item 30.
Answer all sections of item 2 (A through C) even if the mailing
address shown is correct.
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.
Sales, shipments, receipts, or 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 this report form is necessary, reference the 11digit Census File Number (CFN) shown in the mailing
address.
Please photocopy each completed report form for your
records and return the originals.
Public reporting burden for this collection of information is
estimated to average thirty minutes per response, including
the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and
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 or establishments that temporarily close for
remodeling. Complete all items on the form for the portion of
2012 during which the establishment was active.
● 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 on the form for the portion of
2012 during which the establishment was in operation.
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● 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 on the form for the portion of
2012 prior to the change in operator.
● Other status – 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.
Include:
Gross receipts for merchandise sold, services provided,
products shipped, and construction work done.
Amounts received for work even though work may have
been subcontracted to others.
Commissions, fees, and other operating income for
industries operating on a commission basis, such as travel
agencies and advertising agencies.
Actual sales value of the products sold rather than
commissions received for retailers and wholesalers selling
merchandise on a consignment or commission basis.
Receipts for delivery, installation, maintenance, repair,
alteration, storage, and other services.
Sales taxes or other taxes collected directly from customers
and paid directly to a Federal or local tax agency.
Gross sales and receipts of departments or concessions
operated by other companies at the establishment.
Commissions from vending machines operated by others.
Sales generated from telephone transactions using
interactive voice response systems.
Shipping and handling receipts for online orders.
Online payments from customers where the order or contract
was not negotiated online.
Commissions or fees from the use of online services (e.g.,
computerized reservation systems, financial transaction
processing systems, etc.) where the order or contract was
not negotiated online.
Commissions or fees from the provision of
telecommunications and related infrastructure systems (e.g.,
data transfer, Web hosting, Internet access, etc.) where the
order or contract was not negotiated online.
Sales from goods or services placed over facsimile
machines or switched telephone networks.
7. EMPLOYMENT AND PAYROLL
A. Number of paid employees
Exclude:
Commissions or fees from selling or from facilitating the sale
of third party products (e.g., click-throughs on
advertisements or referral fees) through the establishment’s
website.
Exclude:
5. SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Report number of paid employees for pay period including
March 12, 2012.
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.
Include:
6. E-COMMERCE SALES, SHIPMENTS, RECEIPTS, OR
REVENUE
All full- and part-time employees working at this
establishment whose payroll was reported on Internal
Revenue Service Form 941-SS, Employer’s Quarterly
Federal Tax Return, or Form 944-SS, Employer’s Annual
Federal Tax Return, and filed under the Employer
Identification Number (EIN) shown in the mailing address or
corrected in 1.
Non-resident workers, whether or not FICA taxes were
withheld
Salaried officers and executives of a corporation.
Employees on paid sick leave, paid vacations, and paid
holidays.
E-commerce transactions are transactions completed over an
Internet, electronic mail, Extranet, Electronic Data Interchange
(EDI) network, or other online system.
Include:
Sales, shipments, receipts, or revenue generated as a result
of e-commerce transactions or agreements negotiated
online, including electronic mail (e-mail), between the
customer and this establishment on the price and/or terms of
transfer of goods or services.
Online sales of goods or services, regardless of whether
payment is made online.
Commissions or fees from the use of online services (e.g.,
computerized reservation systems, financial transaction
processing systems, etc.) where the order or contact was
negotiated online.
Exclude:
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Temporary staffing obtained from a staffing service.
Employees of departments or concessions operated by
other companies at this establishment.
Purchased or managed services, such as janitorial, guard, or
landscape services.
C. Stage of fabrication
Professional or technical services purchased from another
firm, such as software consulting, computer programming,
engineering, or accounting services.
If the establishment had inventories by stage of fabrication on
December 31, 2012 and on December 31, 2011, report inventories
by stage of fabrication by completing lines 1 through 3.
Agriculture workers from fruit or vegetable canning or
freezing plants with farms associated with their operations.
Fishing crews from fish canning, freezing, or packaging
plants with fishing operations associated with the plant.
Proprietors or partners of an unincorporated business.
12. LEGAL FORM OF ORGANIZATION
Unpaid family members.
Mark with an “X” the legal form of organization that best describes
the establishment at the end of 2012
The sum of lines 1 through 3 for each year should equal the total
amount for that year reported in line B.
B. Payroll
13. CAPITAL EXPENDITURES AND DEPRECIATION
EXPENSES
Include:
Wages, salaries, tips, vacation allowances, bonuses,
commissions, and other compensation paid to employees
during 2012, whether or not subject to income or FICA tax.
Salaries of officers and executives of a corporation.
Employee contributions to qualified pension plans.
A. Capital expenditures
Report expenditures made during 2012 to purchase structures and
equipment that are chargeable to the fixed assets accounts and
for which depreciation accounts are maintained. Also include the
cost of structures and equipment acquired as the lessee under
capital lease agreements entered into during 2012.
Exclude:
Payments to or withdrawals by proprietors or partners of an
unincorporated business.
Annuities or supplemental unemployment compensation
benefits, even if income tax was withheld.
Payrolls of departments or concessions operated by other
companies at the establishment.
Employer’s cost for fringe benefits.
B. Depreciation expenses
Report depreciation and amortization charged during 2012 in line
A, against tangible and intangible assets (such as patents or
copyrights). Include the depreciation of fixed assets for which
depreciation accounts are ordinarily maintained.
16. SELECTED EXPENSES
A. Operating expenses
C. Fringe benefits
Report total operating expenses for 2012.
Include:
Include:
Total annual payroll reported in item 7
Employer’s cost for fringe benefits reported in item 7
Stamps, taxes, and license fees
Equipment which was expensed (rather than capitalized)
during 2012
Depreciation and amortization charges in 2012, including
depreciation charges on equipment obtained through a
capital or full payout lease, or on equipment rented to others
through an operating lease
Report the value of inventories the establishment owned on
December 31, 2012 and on December 31, 2011. Exclude the
value of inventories held at the establishment but owned by
others.
Lease and rental payments made in 2012 for equipment
leased under an operating lease
Advertising services and expenses
Report inventories using current cost (if using LIFO method of
evaluation, adjust to obtain FIFO or current cost).
Commissions paid to others
Office supplies, postage, and shipping and packaging
materials and expenses
Cost of legal services, data processing, and other contract
work performed by others
Legally required fringe benefits (employer payments for
Social Security, Medicare, unemployment compensation,
workmen’s compensation, and local disability programs, if
required). Also include any legally required fringe benefits
under non FICA regulations
Voluntarily provided fringe benefits (payments for life
insurance, medical insurance, pensions, welfare benefits,
and union-negotiated benefits).
9. INVENTORIES
B. Total inventories
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Telephone and other purchased communication services
Expenditures for supplies, equipment, and parts purchased
for the company’s own use
Other expenses such as insurance, storage, repairs, bad
debt, theft, and damage losses
Tax and stamps.
Merchandise to which this establishment never took title
Sales and other taxes collected directly from customers and
paid directly to a federal or local agency
Exclude:
Purchase of goods for resale
Income taxes
Sales and other taxes collected directly from customers and
paid directly to a federal or local tax agency
Interest expenses (except for Banking establishments, etc.,
for which interest is an operating expense)
Capital expenditures
Bad debt
Payments to or withdrawals by proprietors and partners of
an unincorporated firm.
Choose the ONE kind of business that best describes the
establishment in 2012. If none of the provided selections seem
appropriate, mark “X” the box next to “Other business or
activity,” at the end of item 19 and provide a specific description
of the primary business activity.
Lease payments for merchandise obtained through capital,
finance or full payout leases.
20. CLASS OF CUSTOMER
C. Interest
Report short-term and long-term interest paid in 2012.
19. KIND OF BUSINESS
A. Percent of sales and receipts generated from exports
B. Net purchases of merchandise for resale
Estimate the percentage of sales and receipts generated from
exports, NOT THE PERCENTAGE OF TRANSACTIONS.
Report the total cost of all merchandise purchased for resale,
net of returns, allowances, and trade and cash discounts
(including amounts allowed for trade-ins) to which this
establishment took title in 2012 whether or not payment was
made in 2012. If possible, exclude purchases of containers,
wrappings, packaging and selling supplies.
Include:
Exports to foreign countries
Exports to the United States and US territories
Include:
B. Percent of total sales by class of customer
Merchandise to which this establishment took title in 2012,
whether or not payment was made in 2012
Raw and finished goods
Cash and credit purchases
Merchandise in transit to this establishment or to a customer
to which the establishment has taken title
Amounts allowed for trade-ins
Freight, delivery, and other transportation costs
Import duties (if paid separately)
The cost of purchased services that were resold
Merchandise sold by this establishment from the inventory of
other establishments of the firm
B. Gender
Parts and supplies used in repair work or other service type
activities
Gender of majority ownership of the establishment in 2012 as
defined in line A above.
For each type of customer that this establishment serves, enter
the percentage of the establishment’s total sales reported in
item %, excluding the exports reported in line A. The sum of the
percentages entered should equal 100%.
27. OWNERSHIP
A. Citizenship
Citizenship is determined by “Majority Ownership”, which is
defined as ownership of more than 50% of a company’s rights,
claims, interest, or stock.
Exclude:
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| File Type | application/pdf |
| Author | ruhnk001 |
| File Modified | 2011-09-01 |
| File Created | 2011-09-01 |