CS-**W Farmer Cooperative Statistics (Wool and mohair marketing

CP-20__W (WOOL COOPERATIVES) Form Approved

OMB No. 0570-0007

United States Department of Agriculture

Rural Development

COOPERATIVE STATISTICS, 20__

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please correct mailing label.

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Your help is needed in developing and maintaining complete and accurate nationwide statistics on cooperatives for use in education, research, and decision-making. The data you provide will remain confidential as provided for by law. Your contribution to this effort is very important. A copy of our report will be sent to you. If you have any questions related to this survey of cooperatives or about cooperatives in general, contact Eldon Eversull at (202) 690-1415 or send e-mail to eldon.eversull@wdc.usda.gov.

1. In what month did your cooperative end its fiscal or

business year during 20__? MONTH

2

(103)

. How many producers were members of your cooperative in fiscal 20__?

(Include only producer-members entitled to vote for directors.) NUMBER

(225) $

3. a. ESTIMATED VALUE OF WOOL SOLD?

(513) $

b. SALES OF SUPPLIES (INPUTS)?

4. Number of full-time and part-time and/or seasonal employees your cooperative operated with during

f

(101)

(972)

iscal 20__?

FULL-TIME? PART-TIME AND/OR SEASONAL?

(NOTE: If you attach a consolidated annual or audit report, fill in only information requested that is not included in the consolidated annual or audit report.)

5. Please provide the amounts for these balance sheet items for your business year that ended in 20__.

(114) $

(108) $

a. CURRENT ASSETS?

b. INVESTMENTS IN ALL OTHER CO-OPS (Include CoBank.)?

(115) $

c

(107) $

. PROPERTY, PLANT, AND EQUIPMENT(NET)?

d

(116) $

. TOTAL ASSETS?

e. CURRENT LIABILITIES?

(109) $

f. TOTAL LIABILITIES?

Office use only

g. ALLOCATED MEMBER EQUITIES?

(118) $

h. UNALLOCATED MEMBER EQUITIES (Retained Earnings)?

(110) $

i. TOTAL NET WORTH (TOTAL EQUITY)?

Office use only

j. TOTAL LIABILITIES AND NET WORTH (Equals Total Assets)?

6. From your income statement, please provide the following for your business year that ended in 20__.

a

(124) $

. TOTAL SALES (Exclude service receipts, other income,

and patronage refunds.)?

(131) $

b. COST OF GOODS SOLD?

Office use only

c. GROSS MARGIN (Total sales minus cost of goods sold)?

d

(106) $

. SERVICE RECEIPTS AND OTHER OPERATING INCOME OR REVENUE

(Include service revenues, storage and handling fees, etc.)?

Office use only

e. GROSS REVENUE (Gross Margin plus Service Receipts and other Income)?

f. TOTAL WAGES AND BENEFITS EXPENSE (Include payroll

t

(123) $

axes, group insurance, commissions, profit-sharing, and any

other related benefits.)?

(120) $

g. DEPRECIATION EXPENSE?

(121) $

h. INTEREST EXPENSE?

Office use only

i. OTHER EXPENSES?

(125) $

j. TOTAL EXPENSES (Include Operating and all Other Expenses)?

Office use only

k. NET MARGINS FROM OPERATIONS (Local Savings)?

l. TOTAL PATRONAGE REFUNDS AND DIVIDENDS RECEIVED

F

(113) $

ROM ALL OTHER COOPERATIVES (Include CoBank and all other

cooperatives, less any equity write-offs.)?

m. NONOPERATING INCOME (Include sale of assets, discontinued operations,

n

(136) $

on-cooperative investment income, extraordinary items and all other revenues

or losses not already accounted for)?

(112) $

n. NET INCOME BEFORE TAXES?

(135) $

o. INCOME TAXES?

(122) $

p. TOTAL NET INCOME (OR LOSS)?

7. REPORTED BY: TITLE PHONE ( ) -

FAX ( ) - DATE E-MAIL ADDRESS

COOPERATIVE’S INTERNET HOME-PAGE ADDRESS

Please attach the enclosed return mailing label to your envelope and return this questionnaire along with a copy of your 20__ annual report to:

USDA/RBS, STOP 3256, 1400 INDEPENDENCE AVE., SW, WASHINGTON, DC 20250-3256

(If you would like your annual or audit report returned to you, please let us know.)

THANK YOU!

According to the Paperwork Reduction Act of 1995, no person is required to respond to a collection of information especially if the form fails to display a valid OMB control number. The valid OMB control number for this information collection is 0570-0007. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. Your help is needed in developing and maintaining complete and accurate nationwide statistics on farmer, rancher, and aquacultural associations or cooperatives. The data you provide will remain confidential as provided for by law.