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OMB No. 0607-0013: Approval Expires 10/31/2011
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
2011 ANNUAL RETAIL TRADE REPORT
FORM
SA-44
(DRAFT)
DUE DATE
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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
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only by persons sworn to uphold
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Further, copies retained in
respondents' files are immune
from legal process.
(Please correct any errors in name, address, and ZIP Code.)
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GENERAL INSTRUCTIONS
• Any significant change in this EIN's operations should be noted in 14 .
• For establishments sold or acquired in 2011 or 2010, report data only for the period the establishments were
operated by this EIN.
• Estimates are acceptable if book figures are not available.
• Enter "0" where applicable.
44000016
INCLUDE
• All retail establishments located in the U.S. (including the District of Columbia) reporting payroll on its latest
Employer's Federal Tax Return (Treasury Form 941 or 944), under the Employer Identification Number
(EIN) shown in 1 .
• Data for auxiliary facilities primarily engaged in supporting services to this EIN's establishment(s) such as
warehouses, garages, central administrative offices, and repair services.
EXCLUDE
• Data for establishments operated by other firms, such as franchises.
• Departments and concessions operated by other firms in this EIN's establishment(s).
• Data for establishments located in U.S Territories (such as Puerto Rico, American Samoa, Guam, U.S. Virgin
Islands and Northern Mariana Islands).
SPECIAL INSTRUCTIONS
CONTINUE ON PAGE 2
Form SA-44
1
Attachment 2 Page 2 of 92
Page 2
(DRAFT)
FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
EIN (9 digits)
No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . . . .
Month
2
Day
Year
ORGANIZATIONAL CHANGE
A. Did this EIN experience any acquisitions, sales, mergers, and/or divestitures in 2011 or 2010?
Yes
No - Go to
3
B. Which of the following organizational changes occurred in 2011 or 2010?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month
Acquisition
Day
14 .
Year
Date of organizational change . . . . . . . . . . . . . . . .
Sale
AND
Merger
Enter detailed information below
Divestiture
Name of company
EIN (9 digits)
Address (Number and street, P.O. Box, etc.)
City
State
ZIP Code
3
REPORTING PERIOD
What time period is covered by the data provided in this report?
Calendar year
2011
Beginning Date
Month Day
Year
2010
Beginning Date
Month Day
Year
44000024
Fiscal or partial year - Report beginning and ending
dates. . . . . . . . . . . . . . . . . . . . . . . . .
Month
4
Ending Date
Day
Year
NUMBER OF ESTABLISHMENTS
Month
Ending Date
Day
Year
2011
2010
How many retail establishments, including departments and concessions, did this
EIN operate? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The remainder of this report refers to the establishments reported here.
CONTINUE ON PAGE 3
Form SA-44
5
Attachment 2 Page 3 of 92
Page 3
(DRAFT)
SALES, RECEIPTS, OR REVENUE
INCLUDE
• Credit and cash sales of merchandise
• E-commerce sales if not submitted on a separate
Annual Retail Trade Report
• Excise taxes (such as those on gasoline, liquor, and
tobacco) which are included in the cost of goods
purchased by this EIN
• Wholesale sales made by retail establishment(s)
covered by this report
• Receipts from the rental or leasing of vehicles,
equipment, instruments, tools, etc.
• Receipts from deliveries
• Receipts from installations, maintenance contracts,
repairs, alterations, storage, and other such services
• Value of trade-ins taken as partial payment for other
merchandise
• Value of manufacturers' rebates
• Leased departments and concessions operated in
other establishments
• Shipping and handling revenues
• Advertising revenues
A. What were the total sales
of merchandise and other
operating receipts for this EIN in
2011 and 2010? . . . . . . . . . . . .
$ Bil.
EXCLUDE
• Sales from auxiliary establishments
• Carrying or other finance charges
• Commissions (such as vending machine operators,
government lottery tickets, or other stores)
• Non-operating receipts (such as interest income,
income from investments, and receipts from the
rental or sale of real estate)
• Sales made by departments and concessions
operated by other firms in this EIN's retail
establishment(s)
• Refunds and allowances for returned goods
• The actual value of rebates and discounts granted
to the purchaser, even if granted as an increase in
trade-in allowances
Mil.
2011
Thou.
Dol.
$ Bil.
Mil.
2010
Thou.
Dol.
2011
Thou.
Dol.
$ Bil.
Mil.
2010
Thou.
Dol.
B. Did this EIN collect any sales taxes in 2011 or 2010?
Yes
No - Go to
6
C. What were the total sales taxes
collected in 2011 and 2010?
Exclude excise taxes. . . . . . . . . . .
6
$ Bil.
Mil.
E-COMMERCE
E-commerce is the sale of goods and services where the buyer places an order, or the price and terms of the
sale are negotiated, over an Internet, mobile device (M-Commerce), extranet, EDI network, electronic mail, or
other comparable online system. Payment may or may not be made online.
A. Did this EIN have any e-commerce sales in 2011 or 2010?
Yes
44000032
No - Go to
8
$ Bil.
Mil.
2011
Thou.
Dol.
$ Bil.
Mil.
2010
Thou.
Dol.
B. What were the total e-commerce sales
in 2011 and 2010? . . . . . . . . . . .
7
Not Applicable.
CONTINUE ON PAGE 4
Form SA-44
8
Attachment 2 Page 4 of 92
Page 4
(DRAFT)
VALUE OF INVENTORIES
INCLUDE
• All inventories of merchandise covered by this
report, including all auxiliary locations (such as
warehouses, garages, central administrative offices)
servicing these establishments, regardless of where
held
• Inventory held in Foreign Trade Zones or in bond
warehouses in the United States
• Report at cost or market value as of the end of your
reporting period
EXCLUDE
• Merchandise owned by others that are being held
on consignment
A. Did this EIN own inventories, regardless of where held, at the end of 2011 or 2010 (or the end of
the period for which you are reporting)?
Yes
No - Go to
10
B. What was the value of merchandise
inventories as of December 31 in
2011 and 2010?
$ Bil.
Mil.
2011
Thou.
Dol.
$ Bil.
Mil.
2010
Thou.
Dol.
1. Merchandise inventories in retail stores
2. Merchandise inventories in
warehouses, offices, or in transit for
distribution to retail stores . . . . . .
3. Total inventories (if applicable,
before Last-in, First-out (LIFO)
adjustment)
Sum of 8 B1 and 8 B2. . . . . . . . .
4. LIFO reserve (if applicable)
Enter zero if not applicable. . . . . . .
5. Total inventories after LIFO adjustment
8 B3 minus 8 B4. . . . . . . . . . . .
C. Were inventories reported as of December 31?
Yes - Go to
8
E
No
2011
Month Day
Year
D. If no, inventories were reported as of what date?
E. Were any of the inventories reported in
District of Columbia in 2011 or 2010?
8
2010
Month Day
Year
. . . .
B3 stored outside, or en route to, the 50 states and the
44000040
Yes
No - Go to
9
F. What was the value of the inventories
stored outside, or en route to, the
50 states and District of Columbia
in 2011 and 2010 (for sale in the 50
states or District of Columbia)?
Exclude inventory held in Foreign Trade
Zones or in bond warehouses in the U.S. .
$ Bil.
Mil.
2011
Thou.
Dol.
$ Bil.
Mil.
2010
Thou.
Dol.
CONTINUE ON PAGE 5
Form SA-44
9
Attachment 2 Page 5 of 92
Page 5
(DRAFT)
INVENTORY VALUATION METHOD
A. Were any of the inventories reported in
8
B3 subject to the LIFO valuation method?
Yes
No - Go to
10
B. How much of the inventory reported
in 8 B3 was subject to:
$ Bil.
Mil.
2011
Thou.
Dol.
$ Bil.
Mil.
2010
Thou.
Dol.
1. LIFO valuation method before
adjustment . . . . . . . . . . . . . .
2. Any other valuation method . . . . . .
3. Verify Total
Sum of 9 B1 and 9 B2. Total must
equal 8 B3. . . . . . . . . . . . . . .
10 TOTAL PURCHASES
INCLUDE
• Cash and credit purchases by this EIN
• Merchandise owned, but in transit to this EIN
• Purchases made by both your warehouse(s) and
establishment(s)
• Freight, delivery, and other transportation costs
• Import duties (if paid separately)
• Parts and supplies used in repair work or other
services
$ Bil.
Mil.
2011
Thou.
Dol.
$ Bil.
Mil.
2010
Thou.
Dol.
44000057
What was the total cost of all
merchandise purchased for resale for
which this EIN took title, whether or not
payment was made, in 2011 and 2010? .
If purchases are greater than sales, explain
in 14 .
EXCLUDE
• Expenditures for supplies, equipment, and parts
purchased for this EIN's own use
• Purchases made by other firms operating
departments and concessions in this
establishment(s)
• Purchase of merchandise held outside the U.S.
• Purchase of containers, wrappings, packaging, and
selling supplies for this EIN's own use
• Trade and cash discounts, returns, and allowances
CONTINUE ON PAGE 6
Form SA-44
Attachment 2 Page 6 of 92
Page 6
(DRAFT)
11 A ACCOUNTS RECEIVABLE BALANCES
Did this EIN extend credit to customers at any of its retail establishments or departments and
concessions covered by this report in 2011 or 2010?
• Exclude credit that is provided by others, such as banks, finance corporations, oil or other
credit card issuing companies. Exclude credit extended to commercial customers.
Yes
No - Go to
13
Definitions of Accounts Receivable
Open or revolving accounts - Retail credit that is extended on a credit-line basis. A single contract governs
multiple use of the account and purchases may or may not be made with a credit card. Generally, credit
extensions can be made at the customer's discretion, provided that the outstanding balance does not exceed a
prearranged credit limit. The amount of repayment is also made at the discretion of the customer, subject to a
prearranged minimum usually with the option of paying the balance in full.
Closed or non-revolving accounts - Retail credit accounts for which full payment is scheduled to be made at
the end of the customary billing period or installment contracts that specify a fixed schedule of payments and
the amount and due date for the payment.
11 B ACCOUNTS RECEIVABLE BALANCES
Mark (X) to indicate if types of credit are extended and report balances as of December 31, 2011 and 2010
for account types this EIN extends. Exclude credit extended to commercial customers.
1. Types of accounts
a. Open (revolving) accounts
Balance outstanding as of
December 31, 2010
$ Bil.
Mil.
Thou.
Dol.
Balance outstanding as of
December 31, 2010
$ Bil.
Mil.
Thou.
Dol.
Yes . . . . . . . . . . . . .
No
b. Closed (non-revolving) accounts
Yes . . . . . . . . . . . . .
No
2. What was the total balance
of accounts receivable in
2011 and 2010?
Sum of 11 B1a and 11 B1b. . . . . . . . .
12 Not Applicable.
13 OPERATING EXPENSES
EXCLUDE
• Bad debt
• Purchases of goods for resale or cost of goods sold
• Income taxes
• Sales and other taxes collected directly from
customers and paid directly to a local, State, or
Federal government agency
• Interest expenses
• Impairment (reduction in value of long-lived assets
due to reappraisal)
• Capitalized expenses (except payroll and fringe
benefits)
44000065
INCLUDE
• Expenses arising from the normal course of
business
• Payroll
$ Bil.
Mil.
2011
Thou.
Dol.
$ Bil.
Mil.
2010
Thou.
Dol.
What were the total operating expenses
for this EIN in 2011 and 2010? . . . . . .
CONTINUE ON PAGE 7
Form SA-44
Attachment 2 Page 7 of 92
Page 7
(DRAFT)
14 REMARKS - Please use this space to explain any significant year-to-year changes, to clarify responses, or indicate where
data were estimated.
15 CONTACT INFORMATION
Name of person to contact regarding this report (Please print)
Address - Number and street
Title
City
State
ZIP Code
44000073
Area code
Telephone
Number
-
Extension
Area code
Fax
Number
-
Website address
THANK YOU
for completing your 2011 ANNUAL RETAIL TRADE REPORT.
We suggest you keep a copy for your records.
Public reporting burden for this collection of information is estimated to average 53 minutes per response, including the time for assembling
data from existing records and completing the form. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden to: Paperwork Project 0607-0013, 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 0607-0013" as the
subject. Respondents are not required to respond to any information collection unless it displays a valid approval number from the Office of
Management and Budget (OMB). This 8-digit number appears in the top right corner of the form.
File Type | application/pdf |
File Title | C:\DOCUME~1\cogan300\LOCALS~1\Temp\tmp73.tmp |
Author | cogan300 |
File Modified | 2011-08-08 |
File Created | 2011-08-08 |