NC-99007 Report of Organization

Attachment B
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017-2019 Report of Organization
OMB Control Number 0607-0444
Form NC-99007

OMB No: 0607-0444
Approval Expires: 5/31/2018
UNITED STATES
CENSUS BUREAU

2018 COS-ASM
(Report of Organization and Annual Survey of Manufacturers)

OMB No: 0607-0449
Approval Expires: 11/30/2017

Do Not Submit - For Informational Purposes ONLY.
Mailing this to Census does not fulfill your reporting obligation.

NC-99007 - Report of Organization
Mailing Address
MAILING ADDRESS
Attention - Enter Attention field/Contact
Name 1 - Enter Name 1
Name 2 - Enter Name 2
Street - Enter street address
City - Enter city
State - Enter state
ZIP Code - Enter ZIP Code

For Census Bureau Use Only
*CFN (census file number) - Unique identifier used for downloading and uploading data
Electronic Batch Identification

Ownership or Control - Voting Stock Validation
Does another domestic company own more than 50 percent of the voting stock of your company?
Yes
No

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OMB No: 0607-0444
Approval Expires: 5/31/2018
UNITED STATES
CENSUS BUREAU

2018 COS-ASM
(Report of Organization and Annual Survey of Manufacturers)

OMB No: 0607-0449
Approval Expires: 11/30/2017

Ownership or Control - Management and Policy
Does another domestic company have the power to control the management and policies of your
company?
Yes
No

Ownership or Control - Percent of Voting Stock Held
What percent of voting stock was held by the owning or controlling company?
More than 50%
Less than 50%
50%

Ownership or Control - Company Information
What is the name, address, and 9-digit Employer Identification Number (EIN) of the owning or
controlling company?
If AFFIL_OWNER_GT50 is "Yes" or AFFIL_CONTROL is "Yes - Enter name of the owning or controlling
company
If AFFIL_OWNER_GT50 is "Yes" or AFFIL_CONTROL is "Yes - Enter address (Number and street) of the
owning or controlling company's home office
If AFFIL_OWNER_GT50 is "Yes" or AFFIL_CONTROL is "Yes - Enter city of the owning or controlling
company's home office
If AFFIL_OWNER_GT50 is "Yes" or AFFIL_CONTROL is "Yes - Enter state of the owning or controlling
company's home office
If AFFIL_OWNER_GT50 is "Yes" or AFFIL_CONTROL is "Yes - Enter ZIP Code of the owning or controlling
company's home office
If AFFIL_OWNER_GT50 is "Yes" or AFFIL_CONTROL is "Yes - Enter Employer Identification Number (EIN)
of the owning or controlling company

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OMB No: 0607-0444
Approval Expires: 5/31/2018
UNITED STATES
CENSUS BUREAU

2018 COS-ASM
(Report of Organization and Annual Survey of Manufacturers)

OMB No: 0607-0449
Approval Expires: 11/30/2017

Physical Location Validation
Is this establishment's physical location the same as the address shown above?
No
Yes

Physical Location Information
What is this establishment's physical location?
If PHYSLOC_ADDR is "No" - Enter the physical location number and street address
If PHYSLOC_ADDR is "No" - Enter the physical location city, town, village, etc.
If PHYSLOC_ADDR is "No" - Enter the physical location state
If PHYSLOC_ADDR is "No" - Enter the physical location ZIP Code

Remarks
(Please use this space for any explanations that may be essential in understanding your reported
data.) Maximum length is 1,000 characters.
Remarks - Enter any explanations that may be essential in understanding your reported data.

Number of Establishments
How many establishments operated under EIN at the end of 2018?
Number of establishments that operated under this EIN at the end of 2018

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OMB No: 0607-0444
Approval Expires: 5/31/2018
UNITED STATES
CENSUS BUREAU

2018 COS-ASM
(Report of Organization and Annual Survey of Manufacturers)

OMB No: 0607-0449
Approval Expires: 11/30/2017

PHYSICAL LOCATION
What is this establishment's physical location?
Enter name of establishment
Enter secondary name of establishment
Enter store/plant number
Enter street address
Enter city
Enter state
Enter ZIP Code
Describe kind of business at this location

For employees that worked at more than one location, report the employment and payroll data for
employees at the ONE location where they spent most of their working time.
Number of employees for pay period including March 12, 2018
First quarter payroll (January-March 2018) (Report in thousands of dollars)
Annual payroll (Report in thousands of dollars)

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