SA-42-AGBR Annual Wholesale Trade Report - Agents, Brokers, Represe

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU
FORM

SA-42-AGBR

(DRAFT)

2017 ANNUAL WHOLESALE TRADE REPORT
AGENTS, BROKERS, REPRESENTATIVES, AND ELECTRONIC
MARKETS

DUE DATE

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YOUR RESPONSE IS REQUIRED
BY LAW. Title 13 United States
Code (U.S.C.), Sections 131 and
182 authorizes this collection.
Sections 224 and 225 require your
response. 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.
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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 0607-0195 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.)

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GENERAL INSTRUCTIONS
• This report should cover ALL agent, broker, representative, and electronic market locations in the United States
reporting payroll under the Employer Identification Number (EIN) as referenced in 1 on page 2.
• Include data for auxiliary facilities primarily engaged in supporting services to this EIN's establishment(s) such
as warehouses, garages, and central administrative offices.
• Any significant change in this EIN's operations should be noted in 19 on page 4.
• For establishments sold or acquired in 2017, 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.

42004010

ANNOUNCEMENTS AND SPECIAL INSTRUCTIONS
This report applies to firms that primarily arrange for the sale or purchase of goods owned by others, generally on
a fee or commission basis. Examples include:
• Auction companies
• Commission merchants
• Electronic markets (business to business)
• Import or export agents
• Import or export agents
• Manufacturers' representatives
• Merchandise brokers
• Purchasing agents
• Selling agents

CONTINUE ON PAGE 2

Form SA-42-AGBR
1

Page 2

(DRAFT)

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes - Go to

2

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 2017?
Yes
No - Go to

3

B. Which of the following organizational changes occurred in 2017?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
page 4.
Month

Acquisition
Sale
Merger

Day

19

on

Year

Date of organizational change . . . . . . . . . . . . . . . .
AND
Enter detailed information below

Divestiture
Name of company

EIN (9 digits)

Address (Number and street, P.O. Box, etc.)

City, town, village, etc.

State

ZIP Code

3

REPORTING PERIOD
NOTE: Calendar year data is preferred. If it is not available, please report for the fiscal year
that includes at least six months of data for the 2017 calendar year.
What time period is covered by the data provided in this report?
Calendar year - Go to

4

2017
Beginning Date
Month Day
Year

42004028

Fiscal or partial year - Report beginning and ending dates . . . . . . . . . . . . .
Month

4

Ending Date
Day
Year

NUMBER OF LOCATIONS
How many agent or broker locations (including auxiliary facilities primarily engaged in
supporting services) did this EIN operate in 2017?
The remainder of this report refers to the locations reported here. . . . . . . . . . . . . . . . . . . . .

2017
Number

CONTINUE ON PAGE 3

Form SA-42-AGBR
5

Page 3

(DRAFT)

SALES, RECEIPTS, OR REVENUE
INCLUDE
• All revenue from locations identified in the special
instructions on page 1
• Receipts from freight, installations, rentals,
maintenance, repairs, alterations, storage, and other
such services
• 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
EIN

EXCLUDE
• Nonoperating receipts (such as interest income,
income from investments, and receipts from the
rental or sale of real estate)
• Receipts from customers for carrying or other credit
charges

Mark "X"
if None

$ Bil.

Mil.

2017
Thou.

Dol.

A. What were this EIN's TOTAL sales and operating revenue in
2017? (Include sales of goods owned and gross selling value.) . . . .
B. What was the gross selling value of business conducted by this
EIN on a commission basis in 2017? (Include in Item 5 A)
Gross selling value is the total value of the goods sold
• Include any e-commerce sales conducted for others
• Exclude commissions and fees (Report in Item 5 D) . . . . . . . . .
C. What were product sales of goods that this EIN owned (took
title to), if any, or other operating revenue earned in 2017?
(Include in Item 5 A) . . . . . . . . . . . . . . . . . . . . . . . .
D. What were this EIN's commissions and selling or listing fees
earned in 2017? . . . . . . . . . . . . . . . . . . . . . . . . . .

E. What was the AVERAGE commission rate earned in 2017?
• (For this response, you may report up to two decimal places.) . . . . . . . . . . . . . . .
6

2017
Percent

.

%

E-COMMERCE, INCLUDING EDI
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 Electronic Data Interchange (EDI), the Internet, mobile device (M-Commerce), or any other
online system. Payment may or may not be made online.
A. Did this EIN have any e-commerce sales in 2017?
Yes
No - Go to

16

on the next page
Mark "X"
if None

B. What were the total e-commerce sales in 2017?
This amount should equal the sum of 6 B1 and 6 B2 shown below.

$ Bil.

Mil.

2017
Thou.

Dol.

42004036

1. What were the EDI network sales in 2017, if any?
• EDI is the exchange of documents in standardized electronic form
between organizations in an automated manner directly from
a computer application in one organization to an application in
another. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. What were the online system sales in 2017, if any?
• Online systems include the Internet, mobile device (M-commerce),
extranets, e-mail, and instant messaging. . . . . . . . . . . . .
7 – 15 Not Applicable.

CONTINUE ON PAGE 4

Form SA-42-AGBR

Page 4

(DRAFT)

16 OPERATING EXPENSES
INCLUDE
• Expenses arising from the normal course of
business, including payroll

EXCLUDE
• Bad debt/customer related loss
• Interest expenses
• Purchases of goods for resale or cost of goods sold
• Income taxes
• Impairment (reduction in value of long-lived assets
due to reappraisal)
• Transfers made within the company

What were the total operating expenses for this EIN's agent,
broker, representative and electronic market locations ONLY
in 2017? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mark "X"
if None

$ Bil.

Mil.

2017
Thou.

Dol.

17 and 18 Not Applicable.

42004044

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

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

Area code
Telephone
E-mail address

Number

Title

Extension

Area code
Fax

Website
www.

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

Number

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