SA-722E 2014 Annual Retail Trade Report Worksheet

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU
WORKSHEET

SA-722E

(01-30-2015)

2014 ANNUAL FOOD SERVICES REPORT

RESTAURANTS, FOOD SERVICE CONTRACTORS & DRINKING
PLACES

DUE DATE

Call 1-877-787-9860 (option 2)
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://econhelp.census.gov/arts
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. Under the same law,
information that you report
cannot be used for taxation,
regulation, or investigation and
are exempt from release under
the Freedom of Information Act.
Further, copies of your response
retained in your files are immune
from legal process.

DO NOT use this worksheet to respond to the survey, it is intended to assist you with
gathering and preparing your data prior to reporting online.
Please view the online report for specific instructions that may apply to your EIN or firm.
Return to https://econhelp.census.gov/arts when you are ready to report online.

INCLUDE
• All food services 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 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).
ANNOUNCEMENTS AND SPECIAL INSTRUCTIONS

CONTINUE ON PAGE 2

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GENERAL INSTRUCTIONS
• Any significant change in this Employer Identification Number's (EIN's) operations should be noted in 14 .
• For establishments sold or acquired in 2014, 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.

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WORKSHEET
Need help or have questions?

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FEDERAL EMPLOYER IDENTIFICATION NUMBER (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 2014?
Yes
No - Go to

3

B. Which of the following organizational changes occurred in 2014?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
Merger

Day

14 .

Year

Date of organizational change . . . . . . . . . . . . . . . .
AND

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Does this firm report payroll under EIN

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
NOTE: Calendar-year data are preferred. If this is not available, please report for the fiscal year
that includes at least six months of data for the 2014 calendar year.
What time period is covered by the data provided in this report?
Calendar year
Fiscal or partial year - Report beginning and ending dates.

2014
Beginning Date
Month

Year

. . . . . . . . . . . .
Month

4

Day

NUMBER OF ESTABLISHMENTS
How many food services establishments (including departments and concessions) did
this EIN operate in 2014?
The remainder of this report refers to the establishments reported here. . . . . . . . . . . . . .

Ending Date
Day
Year

Mark "X"
if None

2014
Number

CONTINUE ON PAGE 3

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-

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(01-30-2015)

SALES, RECEIPTS, OR REVENUE
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 food services
establishment(s)
• Franchise revenues and royalties

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INCLUDE
• Credit and cash net sales of merchandise
• Excise taxes (such as those on gasoline, liquor, and
tobacco) which are included in the cost of goods
purchased by this EIN
• Receipts from the rentals of public rooms such as
ballrooms, conference rooms, etc.
• Sales of meals, alcoholic beverages, and other
merchandise
• Receipts from valet, laundry, parking, and other
guest services provided by this EIN
• Leased departments and concessions operated in
other establishments

DEDUCT
• Actual value of rebates and discounts granted to the
purchaser, even if granted as an increase in trade-in
allowances

SPECIAL INSTRUCTIONS
Contract feeding
If terms of contract are Include as sales Management fee basis . . . . . . . . . . Management fees plus reimbursement for the cost of food, labor,
and other operating expenses
Cost-plus basis . . . . . . . . . . . . . Sales to customers plus fees or supplements from clients
Profit-loss basis . . . . . . . . . . . . . All sales to customers
Mark "X"
if None

A. What was this firm's total revenue in 2014?

$ Bil.

Mil.

2014
Thou.

Dol.

$ Bil.

Mil.

2014
Thou.

Dol.

. . . . . . . . . . .

B. Did this EIN collect any sales taxes in 2014?
Yes
No - Go to

6

6

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 2014?
Yes
No - Go to

12

$ Bil.

Mil.

2014
Thou.

Dol.

B. What were the total e-commerce sales in 2014? . . . . . . . . . . . . .
7 – 11 Not Applicable.

CONTINUE ON PAGE 4

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C. What were the total sales taxes collected for this firm in 2014?
Exclude excise taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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(01-30-2015)

12 OPERATING EXPENSES

Mark "X"
if None

What were the total operating expenses for this EIN in 2014?
If operating expenses are greater than sales, explain in 14 . . . . . . . . .

$ Bil.

Mil.

2014
Thou.

Dol.

13 Not Applicable.
14 REMARKS - Please use this space to explain any significant year-to-year changes, to clarify responses, or indicate where
data were estimated.

Name of person to contact regarding this report (Please print)

Area code
Telephone
E-mail address

Number

Title

Extension

Area code
Fax

-

Number

-

Website address
www.

THANK YOU
for completing your 2014 ANNUAL FOOD SERVICES REPORT.
We suggest you keep a copy for your records.
Public reporting burden for this collection of information is estimated to average 17 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,
PCO-8H028, 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.

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15 CONTACT INFORMATION

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EXCLUDE
• Bad debt
• Purchases of goods, including food, for resale or
cost of goods sold
• Income taxes
• Interest expenses
• Impairment (reduction in value of long-lived assets
due to reappraisal)
• Capitalized expenses (except payroll and fringe
benefits)
• Transfers made within the company

INCLUDE
• Expenses arising from the normal course of
business
• Payroll
• Depreciation and amortization