WH-42409 2012 Economic Census

2012 ECONOMIC CENSUS

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

Grocery Wholesalers

FORM

WH-42409

OMB No. 0607-0929: Approval Expires 12/31/2013

(10-27-2011)

(Please correct any errors in this mailing address.)

DUE DATE
FEBRUARY 12, 2013
Need help or have questions?
• Read the accompanying information sheet(s) before
answering the questions.
• Visit

WH-42409

econhelp.census.gov

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

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Report Online - It's fast and secure!
Go to:
econhelp.census.gov

U.S. CENSUS BUREAU
1201 East 10th Street
Jeffersonville, IN 47134-0001

Mail your
completed
form to:

- OR -

YOUR RESPONSE IS REQUIRED BY LAW. Title 13, United States Code, requires businesses and other organizations
that receive this questionnaire to answer the questions and return the report to the U.S. Census Bureau. By the same
law, YOUR CENSUS REPORT IS CONFIDENTIAL. It may be seen only by persons sworn to uphold the confidentiality
of Census Bureau information and may be used only for statistical purposes. Further, copies retained in respondents'
files are immune from legal process.
• Use blue or black ballpoint pen.
• Do not use pencil or felt-tip pen.
• Do not put slashes through 0 or 7.

• Please center numbers in
their respective boxes.
• Place an "X" inside the box.

Examples:

The reporting unit for this form is an establishment. An establishment is generally a single physical location
where business is conducted or where services or industrial operations are performed. For further clarification, see
information sheet(s).
1

EMPLOYER IDENTIFICATION NUMBER
Is the Employer Identification Number (EIN) shown to the left of the mailing address the same as the one used for this
establishment on its latest 2012 Internal Revenue Service Form 941, Employer's Quarterly Federal Tax Return?

42409011

0021

2

Yes - Go to

2

0022

No - Enter current EIN (9 digits)

-

0025

PHYSICAL LOCATION
A. Is this establishment's physical location the same as shown in the mailing address?
(P.O. Box and rural route addresses are not physical locations.)
0031

0032

Yes - Go to line B
No - Enter
physical
location

0035

Number and street

0036

City, town, village, etc.

0037

State

0038

ZIP Code

CONTINUE WITH
PENALTY FOR FAILURE TO REPORT

2

ON PAGE 2
CONTINUE ON PAGE 2

Form WH-42409
2

Page 2

(10-27-2011)

PHYSICAL LOCATION - Continued
B. Is this establishment physically located inside the legal boundaries of the city, town, village, etc.?
(Mark "X" only ONE box.)
0041

Yes

No

0042

0043

No legal boundaries

0044

Do not know

0024

Do not know

C. In what type of municipality is this establishment physically located?
(Mark "X" only ONE box.)
0046

3

City, village,
or borough

Town or township

0047

0048

Other

OPERATIONAL STATUS
Which ONE of the following best describes this establishment's operational status at the end of 2012?
(Mark "X" only ONE box.)

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0011

In operation

0013

Temporarily or seasonally inactive

0014

Ceased operation - Give date at right

0015

Sold or leased to another operator - Give date at right
AND enter name and address of new owner or operator
and Employer Identification Number (EIN) below
0060

Month

Day

Year

0018

Name of new owner or operator

0061

EIN (9 digits)

0062

Mailing address (Number and street, P.O. Box, etc.)

0063

City, town, village, etc.

0064

State

0065

ZIP Code

0016

Other - Specify
0815

4

Mark "X"
if None

MONTHS IN OPERATION

30 .)

. . . . . . . . . .

0002

42409029

Number of months in operation during 2012 (If none, mark "X" and go to

2012
Number

CONTINUE ON PAGE 3

Form WH-42409

Page 3

(10-27-2011)

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

HOW TO
REPORT
DOLLAR
FIGURES

5

Mark "X"
if None

Dollar figures should be rounded to
thousands of dollars.
If a figure is $2,035,628.79:

Report

If a value is "0" (or less than $500.00):

Report

2012
Mil.

$ Bil.

2

0 3 6

EXAMPLE

SALES, SHIPMENTS, RECEIPTS, OR REVENUE
A. Sales and operating receipts (Include the gross selling value of
business conducted for others. Include shipping and handling
charges. Exclude sales taxes and Hawaii's General Excise Tax.) . .

Thou.

Mark "X"
if None

$ Bil.

2012
Mil.

Thou.

2012
Mil.

Thou.

0100

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B. Did this establishment earn commissions for the sale of merchandise?
1121

Yes - Go to line C

1122

No - Go to line E

$ Bil.

C. Gross selling value of business conducted on a commission basis
(Include on line A.) . . . . . . . . . . . . . . . . . . . . . . . . . . .

1123

D. Commissions received on transactions reported on line C

1124

. . . . . . . .

E. Is this the only establishment of this firm?
0907

Yes - Go to line G

0908

No - Go to line F

F. Percent of products sold by this establishment manufactured or mined in the United
States by your company or its subsidiaries . . . . . . . . . . . . . . . . . . . . .

Mark "X"
if None

2012
Percent

%

1125

G. Did e-commerce account for more than 50% of this establishment's sales and/or operating receipts as
reported on line A?
Yes

0309

No

Not Applicable.

42409037

6

0308

CONTINUE ON PAGE 4

Form WH-42409
7

Page 4

(10-27-2011)

EMPLOYMENT AND PAYROLL
Include:
• Full- and part-time employees working at this establishment whose payroll was reported on Internal Revenue
Service Form 941, Employer's Quarterly Federal Tax Return, and filed under the Employer Identification Number
(EIN) shown to the left of the mailing address or corrected in 1 .
Exclude:
• Temporary staffing obtained from a staffing service.
• Contractors, subcontractors, or independent contractors.
• Full- or part-time leased employees whose payroll was filed under an employee leasing company's EIN.
• Purchased or managed services, such as janitorial, guard, or landscape services.
• Professional or technical services purchased from another firm, such as software consulting, computer
programming, engineering, or accounting services.

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A. Number of employees for pay period including March 12 . . . . . . . . . . .
B. Payroll before deductions
(Exclude employer's cost for fringe benefits.)

Mark "X"
if None

1. Annual payroll . . . . . . . . . . . . . . . . . . . . . . . .

0300

2. First quarter payroll (January-March 2012) . . . . . . . . . . .

0310

8

Not Applicable.

9

VALUE OF INVENTORIES

2012
Number

Mark "X"
if None

For further clarification, see information sheet(s).
0320

$ Bil.

2012
Mil.

Thou.

A. Did this establishment own inventories, regardless of where held, at the end of 2012 and/or 2011?
0486

Yes - Go to line B

0487

No - Go to

16

B. Report inventories and Last-in, First-out (LIFO) adjustment, if any, for products owned by this establishment as of
December 31.
1. Total inventories
before LIFO
adjustment (if any)

Mark "X"
if None

$ Bil.

End of 2012
Mil.

Thou.

Mark "X"
if None

0460

0470

0466

0476

0468

0469

$ Bil.

End of 2011
Mil.

Thou.

2. LIFO reserve (if any)

42409045

3. Total inventories
after LIFO
adjustment (Line B1
minus line B2.) . . .

CONTINUE ON PAGE 5

Form WH-42409

Page 5

(10-27-2011)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
10 INVENTORIES BY VALUATION METHOD
Report how much of the inventory reported in
subject to the following valuation methods:

9

A. LIFO valuation method before adjustment

. . . . . . . . . . . .

0244

. . . . . . . . . . . . . . . . . . . . .

0491

C. Average cost . . . . . . . . . . . . . . . . . . . . . . . . . .

0492

B. First-in, First-out (FIFO)

, line B1, for 2012 is

Mark "X"
if None

$ Bil.

2012
Mil.

Thou.

2012
Mil.

Thou.

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D. Standard cost . . . . . . . . . . . . . . . . . . . . . . . . . .

0493

E. Other valuation method - Specify method

0895

0494

F. TOTAL (Sum of lines A through E should equal

9

, line B1.) . . . .

0490

11 – 15 Not Applicable.
16 SELECTED EXPENSES
Mark "X"
if None

A. Operating expenses (Include payroll. Exclude cost of goods sold
and interest expense.) . . . . . . . . . . . . . . . . . . . . . .

0140

B. Purchases of merchandise for resale, net of returns, allowances,
and trade and cash discounts (Include amounts allowed for tradeins.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1160

$ Bil.

C. For the value reported on line B, were any of these goods ordered
over an Internet, Extranet, Electronic Data Interchange (EDI)
network, electronic mail, or other online system?
Yes

0442

No

0443

Do not know

42409052

0441

17 and 18 Not Applicable.

CONTINUE ON PAGE 6

Form WH-42409

Page 6

(10-27-2011)

19 A. KIND OF BUSINESS
Which ONE of the following best describes this establishment's principal kind of business in 2012?
(Mark "X" only ONE box.)
0700

424 410 00 1

General-line groceries, including dried milk

424 490 30 1

Soft drinks, bottled water, juices, and nonalcoholic beverages, including beverage concentrates

424 490 10 1

Coffee, tea, and powdered drink mixes

424 490 20 1

Bread and baked goods, including baking ingredients and spices

424 490 40 1

Nonperishable (canned and packaged) food, including condensed and evaporated milk

424 420 00 1

Packaged frozen food

424 450 00 1

Confectioneries, including candy, nuts, chips, and popcorn

424 480 00 1

Fresh fruits and vegetables

424 430 20 1

Dairy products, excluding dried, canned, and raw milk and cream

424 440 20 1

Eggs, poultry, and poultry products, excluding live poultry

424 470 00 1

Meat and meat products

424 460 00 1

Fish and seafood

424 490 50 1

Food and beverage basic materials, including industrial molasses

424 490 60 1

Other grocery specialties

424 940 00 1

Tobacco and tobacco products

424 210 10 2

General-line drugs

424 210 20 1

Specialty-line drugs, cosmetics, and toiletries, including vitamins, supplements, and first aid
supplies

424 510 00 1

Grain and field beans

771 000 00 1

Other kind of business - Specify

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42409060

0701

CONTINUE ON PAGE 7

Form WH-42409

Page 7

(10-27-2011)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
19 B. TYPE OF OPERATION
Which ONE of the following best describes this establishment's principal type of operation in 2012?
(Mark "X" only ONE box.)
Merchant wholesaler, buying and selling on own account
0600

12

Importer

13

Exporter

11

Merchant wholesale distributor or jobber

14

Own-brand importer and marketer

20

Manufacturers' sales branch or office

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Agent, broker, or commission merchant
46

Manufacturers' representative or agent

41

Auction company

42

Broker, representing buyers and sellers

43

Commission merchant

44

Import agent

45

Export agent

49

Electronic market - business-to-business marketplace that facilitates the sale of goods via the
Internet or other electronic means, and operates on a commission or fee basis

77

Other broker or agent - Specify

42409078

0601

CONTINUE ON PAGE 8

Form WH-42409

Page 8

(10-27-2011)

20 CLASS OF CUSTOMER
A. As a general business practice, did this establishment sell to household consumers and individual users in 2012?
0251

Yes

0252

No

B. Were 75% or more of this establishment's sales to retailers/wholesalers/distributors for resale in 2012?
0256

Yes

0257

No

C. Did this establishment require proof of business or professional license from new customers in 2012?
0276

Yes

0277

No

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42409086

D. Estimate the percentage of this establishment's total sales (reported in
customer.

5

2012
Percent

, line A) by class of

1.

Household consumers and individuals . . . . . . . . . . . . . . . . . . . . . . . . .

0261

%

2.

Export sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0262

%

3.

Retailers for resale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0263

%

4.

Wholesalers/distributors for resale . . . . . . . . . . . . . . . . . . . . . . . . . . .

0264

%

5.

Repair shops for use in repair work . . . . . . . . . . . . . . . . . . . . . . . . . .

0265

%

6.

Manufacturing and mining industrial users for use as input goods in production . . . . .

0266

%

7.

Restaurants, hotels, food services, and contract feeding

. . . . . . . . . . . . . . . .

0267

%

8.

Businesses for end use in their own operation, not for resale or production . . . . . . .

0268

%

9.

Building contractors, heavy construction, and special trade contractors

. . . . . . . . .

0269

%

10. Farmers for use in farm production . . . . . . . . . . . . . . . . . . . . . . . . . .

0270

%

11. Governmental bodies (federal, state, and local) . . . . . . . . . . . . . . . . . . . . .

0271

%

0272

%

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 0 0 %

12. Other - Specify

0874

13. TOTAL

CONTINUE ON PAGE 9

Form WH-42409

Page 9

(10-27-2011)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
21 METHOD OF SELLING
Which ONE of the following best describes this establishment's principal method of selling in 2012?
(Mark "X" only ONE box.)
Electronic commerce (selling goods or facilitating the sale of goods via the Internet or other electronic means)

0751

Store or display showroom (selling from a fixed or permanent location with physical displays of priced
merchandise and/or from a counter)

0752

0753

Warehouse or office (including telephone/fax orders or outside sales representatives)

0754

Mail order

0755

Home shopping via television

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Direct selling (selling in a face-to-face manner away from a fixed location, such as house-to-house, party
plan, or temporary kiosk sales)

0756

0757

Vending machines

0758

Other - Specify

0759

2012

HOW TO
REPORT
PERCENTS

Percents should be rounded to
whole percents.

Report thousands of dollars OR whole percents.
Estimates are acceptable.
$ Bil.
Mil.
Thou.
Percent

3 9

If figure is 38.76% of total sales: Report

22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE
(Report sales for each product line sold by this establishment, either as a dollar figure or as a whole percent of total
sales reported in 5 , line A. Include the value of merchandise marketed under capital, finance, or full payout leases,
and rental receipts derived from merchandise under operating leases. See HOW TO REPORT DOLLAR FIGURES on page
3 and HOW TO REPORT PERCENTS above. Do not combine data for two or more lines.)
2012
Report thousands of dollars OR whole percents.
Estimates are acceptable.

Description of sales, shipments, receipts, or revenue

$ Bil.

42409094

1.

Mil.

Thou.

Percent

Packaged frozen food
a. Frozen meals . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14111

b. Frozen poultry products

. . . . . . . . . . . . . . . . . . . . .

14118

. . . . . . . . . . . . . . . . . . . . . .

14115

c. Frozen meat products

d. Frozen fish and seafood products

. . . . . . . . . . . . . . .

14112

e. Frozen vegetables . . . . . . . . . . . . . . . . . . . . . . . . .

14113

f. Frozen fruits and fruit juices (Report non-frozen juices on
line 5f.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14114

CONTINUE WITH

22

ON PAGE 10
CONTINUE ON PAGE 10

Form WH-42409

Page 10

(10-27-2011)

22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE - Continued
2012
Report thousands of dollars OR whole percents.
Estimates are acceptable.

Description of sales, shipments, receipts, or revenue

$ Bil.

1.

. . . . . . . . . . . . . . . . . . . . . . .

h. Other frozen foods, excluding frozen dairy products
i. Add lines 1a through 1h

b. Chewing gum

14116

. . . .

14117

. . . . . . . . . . . . . . . . . . .

14100

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. . . . . . . . . . . . . . . . . . .

14411

. . . . . . . . . . . . . . . . . . . . . . . . . . .

14412

c. Nuts, except raw

. . . . . . . . . . . . . . . . . . . . . . . . .

14413

. . . . . . . . . . . . . . . . . . . . . . . .

14414

e. Other confectioneries . . . . . . . . . . . . . . . . . . . . . . .

14415

f. Add lines 2a through 2e

14400

d. Chips and popcorn

. . . . . . . . . . . . . . . . . . .

Bread, baked goods, and baking ingredients
a. Bread and rolls

. . . . . . . . . . . . . . . . . . . . . . . . . .

b. Cookies and cakes

42409102

Percent

Confectioneries, including candy, nuts, chips, and popcorn
a. Candy, including chocolate

3.

Thou.

Packaged frozen food - Continued
g. Frozen baked goods

2.

Mil.

14821

. . . . . . . . . . . . . . . . . . . . . . . .

14822

c. Cooking oils and margarine . . . . . . . . . . . . . . . . . . .

14823

d. Flour . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14824

e. Refined sugar

. . . . . . . . . . . . . . . . . . . . . . . . . . .

14825

f. Spices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14826

g. Baking mixes and dough

14827

. . . . . . . . . . . . . . . . . . . .

CONTINUE WITH

22

ON PAGE 11

CONTINUE ON PAGE 11

Form WH-42409

Page 11

(10-27-2011)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE - Continued
2012
Report thousands of dollars OR whole percents.
Estimates are acceptable.

Description of sales, shipments, receipts, or revenue

$ Bil.

3.

i. Add lines 3a through 3h

. . . . . . . . . . . .

14829

. . . . . . . . . . . . . . . . . . .

14820

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a. Nonperishable (canned and packaged) fruits and
vegetables . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14831

b. Baby food

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14832

c. Nonperishable (canned and packaged) meat . . . . . . . . .

14833

d. Nonperishable (canned and packaged) fish and seafood . .

14834

e. Nonperishable (canned and packaged) milk

. . . . . . . . .

14835

. . . . . . . . . . . . . . . . . . . . . . . . .

14837

g. Preserves, jellies, jams, peanut butter, and honey . . . . . .

14838

h. Sauces, salad dressing, dips, and vinegar

. . . . . . . . . .

14839

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

14841

j. Soup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14842

k. Other nonperishable (canned and packaged) food,
including nonperishable poultry products
. . . . . . . . . .

14848

l. Add lines 4a through 4k

14830

i. Condiments

42409110

Percent

Nonperishable (canned and packaged) food

f. Pickles and olives

5.

Thou.

Bread, baked goods, and baking ingredients - Continued
h. Other baked goods, including crackers

4.

Mil.

. . . . . . . . . . . . . . . . . . .

Soft drinks, bottled water, juices, and nonalcoholic beverages
a. Pre-mix and post-mix bulk soft drinks . . . . . . . . . . . . .

14852

b. Packaged soft drinks

. . . . . . . . . . . . . . . . . . . . . . .

14851

c. Bottled water . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14853

CONTINUE WITH

22

ON PAGE 12
CONTINUE ON PAGE 12

Form WH-42409

Page 12

(10-27-2011)

22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE - Continued
2012
Report thousands of dollars OR whole percents.
Estimates are acceptable.

Description of sales, shipments, receipts, or revenue

$ Bil.

5.

. . . . . . . . . . . . . . . . .

14854

e. Sport and energy drinks, including bottled and canned
coffee and tea . . . . . . . . . . . . . . . . . . . . . . . . . . .

14855

. . . . . . . . . . . . .

14856

g. Add lines 5a through 5f . . . . . . . . . . . . . . . . . . . .

14850

Coffee, tea, and powdered drink mixes

a. Coffee, excluding bottled and canned

. . . . . . . . . . . . .

14811

b. Tea, excluding bottled and canned . . . . . . . . . . . . . . .

14812

c. Powdered drink mixes

14814

. . . . . . . . . . . . . . . . . . . . . .

d. Add lines 6a through 6c

. . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . .

b. Milk and cream, excluding raw milk and cream

14215

. . . . . . .

14213

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14211

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14212

e. Yogurt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14217

f. Ice cream and other frozen dairy products

. . . . . . . . . .

14214

. . . . . . . . . . . . . . . . . . . . . . .

14216

c. Butter
d. Cheese

42409128

14800

Dairy products, excluding dried, canned, condensed, and
evaporated dairy products
a. Raw milk and cream

g. Other dairy products

h. Add lines 7a through 7g
8.

Percent

PY
O
C
N
TIO
A
T
R
M
R
O
P
O
F
E
IN
OR
T
E
S
U
T
O
N
DO

f. Nonfrozen fruit and vegetable juices

7.

Thou.

Soft drinks, bottled water, juices, and nonalcoholic beverages
- Continued
d. Nonalcoholic beer and mixers

6.

Mil.

Fresh fruits and vegetables

. . . . . . . . . . . . . . . . . . .

14200

. . . . . . . . . . . . . . . . . . . . .

14700

CONTINUE WITH

22

ON PAGE 13
CONTINUE ON PAGE 13

Form WH-42409

Page 13

(10-27-2011)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE - Continued
2012
Report thousands of dollars OR whole percents.
Estimates are acceptable.

Description of sales, shipments, receipts, or revenue

$ Bil.

9.

Mil.

Thou.

Percent

Fresh meat and meat products
a. Beef not slaughtered on location . . . . . . . . . . . . . . . .

14611

b. Veal not slaughtered on location . . . . . . . . . . . . . . . .

14612

c. Lamb and mutton not slaughtered on location

. . . . . . .

14613

d. Pork not slaughtered on location . . . . . . . . . . . . . . . .

14614

e. Sausage and prepared meats made on location . . . . . . .

14615

f. Sausage and prepared meats not made on location

. . . .

14616

. . . . . . . . .

14617

h. Other meat and meat products, including bison, venison,
deli (sliced) meats, and edible organs . . . . . . . . . . . . .

14618

i. Add lines 9a through 9h

. . . . . . . . . . . . . . . . . . .

14600

10. Eggs, poultry, and poultry products, excluding canned and
frozen poultry products
. . . . . . . . . . . . . . . . . . . . . . .

14300

11. Fish and seafood, excluding canned and frozen fish and
seafood . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14500

12. Food and beverage basic materials, including flavoring
extracts, fruit peel, sausage casings, hop extract, malt, and
yeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14870

PY
O
C
N
TIO
A
T
R
M
R
O
P
O
F
E
IN
OR
T
E
S
U
T
O
N
DO

g. Meat from animals slaughtered on location

13. Grocery specialties

42409136

a. Pasta

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14882

b. Breakfast cereals and bars . . . . . . . . . . . . . . . . . . . .

14881

c. Rice

14883

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d. Packaged meals, excluding frozen

. . . . . . . . . . . . . . .

CONTINUE WITH

22

14884

ON PAGE 14

CONTINUE ON PAGE 14

Form WH-42409

Page 14

(10-27-2011)

22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE - Continued
2012
Report thousands of dollars OR whole percents.
Estimates are acceptable.

Description of sales, shipments, receipts, or revenue

$ Bil.

Mil.

Thou.

Percent

13. Grocery specialties - Continued
e. Other grocery specialties, including dried and soy milk

. .

14888

f. Add lines 13a through 13e . . . . . . . . . . . . . . . . . .

14880

14. Pet food . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15060

15. Paper and plastic products

13400

PY
O
C
N
TIO
A
T
R
M
R
O
P
O
F
E
IN
OR
T
E
S
U
T
O
N
DO
. . . . . . . . . . . . . . . . . . . . .

16. Restaurant and hotel equipment and supplies

. . . . . . . . . .

10960

17. Pharmaceuticals, pharmaceutical supplies, cosmetics, and
toiletries, including body and hand soaps . . . . . . . . . . . .

13500

18. Chemicals and allied products, excluding agricultural
chemicals, plastics, industrial and natural gases, liquefied
petroleum (LP), and petroleum
a. Home cleaning chemical solutions, polishes, and waxes . .

15345

b. Other chemicals and allied products . . . . . . . . . . . . . .

15344

c. Add lines 18a and 18b

15330

. . . . . . . . . . . . . . . . . . . .

19. Commercial laundry and dry-cleaning equipment and supplies

12530

20. Grains, beans, and seeds

14900

. . . . . . . . . . . . . . . . . . . . . .

42409144

21. Tobacco and tobacco products

. . . . . . . . . . . . . . . . . . .

15900

22. Miscellaneous home furnishings, including household
containers, flatware, pans, baskets, and kitchen utensils . . . .

10540

23. Beer, ale, and brewers' products

15600

. . . . . . . . . . . . . . . . . .

24. Wine and distilled alcoholic beverages

. . . . . . . . . . . . . .

CONTINUE WITH

22

15700

ON PAGE 15

CONTINUE ON PAGE 15

Form WH-42409

Page 15

(10-27-2011)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE - Continued
2012
Report thousands of dollars OR whole percents.
Estimates are acceptable.

Description of sales, shipments, receipts, or revenue

$ Bil.

Mil.

Thou.

Percent

25. Miscellaneous commodities - Specify

a.

19811

b.

19812

PY
O
C
N
TIO
A
T
R
M
R
O
P
O
F
E
IN
OR
T
E
S
U
T
O
N
DO

c.

19813

26. Rental and operating lease receipts

. . . . . . . . . . . . . . . .

27. Service receipts and labor charges, including installed parts
28. TOTAL (Should equal

5

19940

.

19700

, line A, if reporting in dollars.) . . . .

19990

1 0 0

23 Not Applicable.
24 SHIPPING AND HANDLING
A. Did this establishment have any receipts from customers for shipping and handling of merchandise in 2012?
0981

Yes - Go to line B

0982

No - Go to

26

$ Bil.

B. Receipts of this establishment from customers for shipping and handling
of merchandise . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

0989

No

Thou.

0985

C. Are receipts for shipping and handling included in sales and receipts (reported in
0988

2012
Mil.

5

, line A)?

42409151

25 Not Applicable.

CONTINUE ON PAGE 16

Form WH-42409

Page 16

(10-27-2011)

26 SPECIAL INQUIRIES
A. EMPLOYMENT BY PRIMARY FUNCTION
(List the number of employees reported in
function.)

7

2012

, line A, by the employee's primary

Paid employees

1. Selling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1131

2. Sales support - including office, clerical, warehousing, customer service,
maintenance employees, and drivers . . . . . . . . . . . . . . . . . . . . . .

1132

3. General support of other establishments in your company - including central
administrative, accounting, research, and other support employees . . . . . . . .

1133

4. Packaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1135

5. Production - including employees who manufacture products from raw materials
or semi-finished products (Report 'knockdown' assembly employees on line 6
below.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1136

6. 'Knockdown' assembly - assembling prefabricated components designed for a
single application or reassembly of completed products . . . . . . . . . . . . .

1134

7. Other - Specify

PY
O
C
N
TIO
A
T
R
M
R
O
P
O
F
E
IN
OR
T
E
S
U
T
O
N
DO

0837

1137

8. TOTAL (Sum of lines 1 through 7 should equal

7

, line A.) . . . . . . . . . . . .

1138

B. GENERAL LINE GROCERIES
Mark "X" only ONE box if this establishment is a:
1181

Voluntary group wholesaler (An establishment affiliated with independent retailers engaged in joint sales
promotions under a group name)

1182

Retail-cooperative wholesaler (An establishment owned and operated cooperatively by independent
retailers buying collectively)

1183

Other grocery wholesaler

C. GOODS PURCHASED FROM FARMERS
Were 50 percent or more of the goods sold by this establishment in 2012 purchased directly from farmers?
1171

Yes

1172

No

42409169

D. PERCENT OF DROP SHIPPED SALES
2012
Whole percent of
sales and receipts

Percentage of sales (reported in 5 , line A) that were drop shipped and did not enter this
establishment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE WITH

26

1111

%

ON PAGE 17

CONTINUE ON PAGE 17

Form WH-42409

Page 17

(10-27-2011)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
26 SPECIAL INQUIRIES - Continued
E. PURCHASE OF CONTRACT MANUFACTURING
1. Did this establishment purchase contract manufacturing services from other companies or foreign plants of
your company in 2012?
Include:
• Products for which the manufacturing (i.e., transforming or otherwise processing materials or
components based on specifications provided by your company) was outsourced to other companies.
• Products for which the manufacturing was performed by your company's foreign plants.
Exclude:
• Services for packaging and assembling.
• Purchases of merchandise for resale (sale of products bought and sold without further processing or
transformation).

PY
O
C
N
TIO
A
T
R
M
R
O
P
O
F
E
IN
OR
T
E
S
U
T
O
N
DO

1011

Yes - Go to line 2

1012

No - Go to

30

$ Bil.

2. Report the costs incurred by this establishment for contract
manufacturing purchased in 2012 . . . . . . . . . . . . . . . . . .

1013

3. Report the value of sales, shipments, receipts, or revenue generated
in 2012 from products whose purchases were reported as contract
manufacturing costs in line 2 . . . . . . . . . . . . . . . . . . . .

1015

2012
Mil.

Thou.

27 – 29 Not Applicable.
REMARKS (Please use this space for any explanations that may be essential in understanding your reported data.)

$$CENSUS_REMARKS$$

30 CERTIFICATION - This report is substantially accurate and was prepared in accordance with the instructions.
Is the time period covered by this report a
calendar year?

42409177

Yes

Month

No - Enter time period covered

Telephone

-

Year

TO
Title

Number

-

Month

FROM

Name of person to contact regarding this report

Area code

Year

Extension

-

Area code

Fax

E-mail address

Number

Month

Day

Date
completed

Thank you for completing your 2012 ECONOMIC CENSUS form.
PLEASE PHOTOCOPY THIS FORM FOR YOUR RECORDS AND RETURN THE ORIGINAL.

Year