Special reports

ORDER TO FILE SPECIAL REPORT
OMB Control No. 3084-XXXX
Expires ------1
UNITED STATES OF AMERICA
FEDERAL TRADE COMMISSION
COMMISSIONERS:

Edith Ramirez, Chairwoman
Julie Brill
Maureen K. Ohlhausen
Joshua D. Wright
Terrell McSweeney

File No. P 143100
Pursuant to a resolution of the Federal Trade Commission dated January 2, 2015, entitled
“Resolution Directing Use of Compulsory Process,” a copy of which is enclosed, the Company,
as defined in this Order, is ordered to file a Special Report with the Commission not later than
[insert date], containing the information specified herein.
The information provided in the Special Report will assist the Commission in evaluating
merger remedies that the Commission ordered from 2006 through 2012.
The information requests to which you must respond are set forth in the attached
Specifications, consistent with the instructions and definitions in Appendix A. The Special
Report must restate each Specification with which the corresponding answer is identified.
The Special Report is required to be subscribed and sworn to by an official of the
Company who has prepared or supervised the preparation of the Special Report from books,
records, documents, correspondence, and other data and material in your possession. The
Certification form is included as Appendix B.
Confidential or privileged commercial or financial information may be reported by the
Commission on an aggregate or anonymous basis, consistent with Section 6(f) and 21(d) of the
FTC Act. Individual submissions in response to this Order that are marked “confidential” will
not be disclosed without first giving the Company ten (10) days’ notice of the Commission’s
intention to do so, except as provided in Sections 6(f) and 21(d) of the FTC Act, 15 U.S.C. §§
46(b) and 57b-2.
You are advised that penalties may be imposed under applicable provisions of federal law
for failure to file special reports or for the filing of false reports.

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Under the Paperwork Reduction Act, as amended, an agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid OMB control number.

Any petition to limit or quash this Order must be received by the Secretary of the
Commission no later than twenty (20) days after service of this Order. Such petition shall set
forth all assertions of protected status or other factual and legal objections to the Order, including
all appropriate arguments, affidavits, and other supporting documentation. 16 C.F.R. §
2.10(a)(1). Such petition shall not exceed 5,000 words as set forth in 16 C.F.R. § 2.10(a)(1) and
must include the signed separate statement of counsel required by 16 C.F.R. § 2.10(a)(2). The
Commission will not consider petitions to quash or limit absent a pre-filing meet and confer
session with Commission staff and, absent extraordinary circumstances, will consider only issues
raised during the meet and confer process. 16 C.F.R. § 2.7(k); see also § 2.1l(b).
By direction of the Commission.
_________________________
Edith Ramirez, Chairwoman
Seal
[date]

Any inquiry concerning this Report should be addressed to:
Daniel P. Ducore, Assistant Director, Bureau of Competition
dducore@ftc.gov
or
Timothy Deyak, Associate Director, Bureau of Economics
tdeyak@ftc.gov
The Report required by this Order should be submitted to:
Remedy Study
Federal Trade Commission
600 Pennsylvania Avenue, NW
Washington, D.C. 20580
Or electronically to:
RemedyStudy@ftc.gov

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ORDER ADDRESSED TO [COMPANY]
RE [DOCKET NUMBER, IN RE XXXX]
SPECIFICATIONS
1. For the calendar years [the calendar year in which the remedy took place and for
each of the three calendar years before and after the remedy took place], provide the
Company’s annual net sales in dollars and units of [the relevant product] in [the
relevant geographic market].
If the Company has fiscal year dollar and unit sales figures that are not calendar year
sales, describe its fiscal year and provide the data requested for the Company’s fiscal
years closest to the calendar years requested. If the requested data are not available for
the product and the geographic market, the Company shall estimate the dollar and unit
sales data requested and describe the basis upon which its estimates were made.
2. Identify by full name, title, business address, telephone number, email address, and
official capacity of the person or persons who prepared or supervised the preparation of
the Company’s response to this Order.

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APPENDIX A
INSTRUCTIONS
1. The Company’s Special Report must be filed by [date].
2. The Special Report must restate the Specification with which the corresponding answer is
identified.
3. All responses to Specification 1 must be provided in Microsoft Excel spreadsheet(s). All
responses to Specification 2 must be provided in either Microsoft Word or Adobe PDF.
If the Company wishes to respond in any other format, the Company must confirm with
the Commission representative identified in this Order that such format is acceptable.
4. All responses must be labeled to indicate the Company name, the docket number of the
consent order to which the Company is responding, and the specification to which the
data or information responds.
5. All files contained in electronic submissions must have a file name that includes the
Company name, the docket number of the consent order to which the Company is
responding, Specification numbers included in the file, and date of submission in the
following format: [COMPANY NAME]_[Docket #]_[Specification #(s)]_[MM-DDYYYY].
6. If any requested information cannot be provided fully, give the information that is
available and explain in detail in what respects and why the response is incomplete.
7. Because postal delivery to the Commission is subject to delay due to heightened security
precautions, please use a courier service such as Federal Express or UPS to deliver
documents to the Commission. The Report required by this Order may be submitted
electronically to RemedyStudy@ftc.gov.

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DEFINITIONS
1. The term “the Company” means the company to which this Order is addressed, its
domestic and foreign parents, predecessors, divisions, subsidiaries, affiliates, partnerships
and joint ventures, and all directors, officers, employees, agents and representatives of the
foregoing. The terms “subsidiary,” “affiliate” and “joint venture” refer to any person in
which there is partial (25 percent or more) or total ownership or control between the
Company and any other person.
2. The term “Order to File Special Report” or “Order” means this Order to File Special
Report.
3. The term “sales” means net sales, i.e., total sales after deducting discounts, returns,
allowances, and excise taxes. “Sales” includes sales of the relevant service or relevant
product, whether manufactured by the Company itself or purchased from sources outside
the Company and resold by the Company in the same manufactured form as purchased.

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APPENDIX B
CERTIFICATION
This Special Report, together with any and all appendices and attachments thereto, was
prepared and assembled under my supervision in accordance with instructions issued by the
Federal Trade Commission in its Order to File Special Report. Subject to the recognition that,
where so indicated, reasonable estimates have been made because books and records do not
provide the required information, the information is, to the best of my knowledge, true, correct,
and complete. Where copies rather than original documents have been submitted, the copies are
true, correct, and complete.

______________________________________
Type or Print Name and Title
______________________________________
Type or Print Firm Name and Address
______________________________________
Type or Print Phone Number and Email Address
______________________________________
(Signature)
Subscribed and sworn to before me at the City of ___________
State of ________ , this, day of ___ , 201_.
_______________________________________
(Notary Public)
My Commission Expires: __________

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