Form SM4212-A Monthly Wholesale Trade Report

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

Attachment 2

MONTHLY WHOLESALE TRADE REPORT

FORM

SM4217-A

(03-13-2017)

Due Date

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Title 13 United States Code (U.S.C.),
Sections 131 and 182, authorizes the
Census Bureau to conduct this collection
and to request your voluntary assistance.
The U.S. Census Bureau is required by
Section 9 of the same law to keep your
information confidential and can use your
responses only to produce statistics. The
Census Bureau is not permitted to publicly
release your responses in a way that could
identify your business, organization, or
institution. Per the Federal Cybersecurity
Enhancement Act of 2015, your data are
protected from cybersecurity risks through
screening of the systems that transmit
your data.
This collection has been approved by the
Office of Management and Budget (OMB).
The eight-digit OMB approval number is
0607-0190 and appears at the upper right
of this page. Without this approval, we
could not conduct this survey.

(Please correct any errors in name, address, and ZIP Code.)

Return via Internet:
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Return via Fax:
1-800-447-4613

To view survey results:
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GENERAL INSTRUCTIONS
• Include data for auxiliary facilities primarily engaged in supporting services to this firm's establishment(s)
such as warehouses, garages, and central administrative offices
• Any significant change in this firm's operations should be noted in 5 on page 3
• For establishments sold or acquired during the month, report data only for the period the establishments
were operated by this firm
• Estimates are acceptable if book figures are not available
• Enter "0" where applicable

42061010

ANNOUNCEMENTS AND SPECIAL INSTRUCTIONS

We estimate this survey will take an average of 7 minutes to complete, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden, to: EID Survey Comments 0607-0190, U.S. Census Bureau, 4600 Silver Hill
Road, Room EID-6K081, Washington, DC 20233. You may email comments to eid.wholesale.indicator.branch@census.gov. Be sure to use "EID Survey Comments
0607-0190" as the subject.

CONTINUE ON PAGE 2

Form SM4217-A

(03-13-2017)

Attachment 2
Page 2

Survey Instructions:

ITEM

3

SALES, RECEIPTS, or REVENUE

INCLUDE
• Sales of products that are shipped on this firms's orders directly to customers
• Retail sales made by wholesale establishments covered by this report
• Gross value of sales made on a commission basis (not your actual commissions)
• Receipts from freight, installations, rentals, maintenance, repairs, alterations, storage, and other such services
• E-commerce sales
• Excise taxes (such as those on gasoline, liquor, and tobacco) that are levied on the manufacturer and
included in the cost of products purchased by this firm
• Sales of nonconsumer durable goods (such as Industrial machinery, construction machinery, heavy trucks,
and tractors)
• Sales to farmers for farm use (such as farm equipment, seeds, fertilizer, and feed)
EXCLUDE
• Sales from establishments that are primarily selling products manufactured or mined in the United States by
this firm
• Foreign sales of products that are not owned by establishments in the United States
• Taxes (sales, excise, and other) collected directly from customers and paid directly to a local, State, or Federal
tax agency
• Nonoperating receipts (such as interest income, income from investments, and receipts from the rental or
sale of real estate)
• Commissions earned for the sale of products
• Receipts from customers for carrying or other credit charges
DEDUCT
• Refunds and allowances for returned products
• The actual value of rebates and discounts granted to the purchaser, even if granted as an increase in trade-in
allowance

ITEM

4

VALUE OF INVENTORIES

Report end-of-month inventories at cost or market for all wholesale establishments and internet operations covered by
this report, including auxiliary locations (such as warehouses, garages, and central administrative offices) servicing these
establishments. If any part of the inventory is valued using the LIFO method, report the amount of inventories before any
adjustment for LIFO reserve.
INCLUDE
• All inventories of products, covered by this report, which are owned as of the end of the month, regardless of
where held
• Inventories held in Foreign Trade Zones or in bond warehouses in the United States

42061028

EXCLUDE
• Items such as fixtures, equipment, and supplies not held for resale
• Products owned by others that are being held on consignment

CONTINUE ON PAGE 3

Form SM4217-A

1

Attachment 2
Page 3

(03-13-2017)

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Has this firm acquired any new EINs for its wholesale operation(s) since last month?
EIN (9 digits)

Yes - List here and continue with

2

. Report additional EIN(s) in

5

-

on page 3.

No
2

NUMBER OF ESTABLISHMENTS
How many wholesale establishments (including auxiliary facilities primarily engaged in
supporting services such as warehouses, garages, and central administrative offices) did this
firm operate in
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The remainder of this report refers to the establishments reported here.

3

SALES, RECEIPTS, OR REVENUE (Refer to page 2 for instructions on what should be inlcuded and excluded.)

Number

A. What type of reporting period do this month's sales represent?
Calendar month reporting period - Go to

3

C

4-week reporting period

5-week reporting period
Ending Date
Month Day

B. If not a calendar month reporting period, what is the ending date for the period you are
reporting sales? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ Bil.

Mil.

Thou.

Dol.

C. What were this firm's sales and other operating receipts in
4

VALUE OF INVENTORIES (Refer to page 2 for instructions on what should be inlcuded and excluded.)
A. Did this firm own inventories, regardless of where held, at the end of the month (or the end of the
period for which you are reporting)?
Yes

No - Go to

5

$ Bil.

Mil.

Thou.

Dol.

B. What was the value of inventories (before Last-in, First-out (LIFO)
adjustment) as of the end of the month? . . . . . . . . . . . . . . . . .
C. Were inventories reported as of
Yes - Go to

5

No
Month Day

42061036

D. If not end of the month, inventories were reported as of what date? . . . . . . . . . . . . . .
5

REMARKS - Please use this space to explain any significant month-to-month changes, to clarify responses, or indicate
where data were estimated.

6

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

Area code
Telephone

Number

-

Title

Extension

Area code
Fax

E-mail address

THANK YOU for completing your Monthly Wholesale Trade Report.
We suggest you keep a copy for your records.

Number

-