SAS Worksheets (18 Annual Services Report

Service Annual Survey

SAS Worksheets

Service Annual Survey

OMB: 0607-0422

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0607-0422 can be found here:

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OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-22010A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

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.
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 0607-0422 and
appears at the upper right of this
page. Without this approval, we
could not conduct this survey.

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

22011019

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

GENERAL INSTRUCTIONS
• Any significant change in this firm's operations should be noted in 17 .
• For establishments sold or acquired in 2018, 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.
• Do not combine data for two or more detailed lines.
• Report data on an accrual basis, except for payroll.
$ Bil.
Mil.
Thou.
Dol.
• Figures should be rounded to the nearest dollar.
1 030280456
• If a figure is $1,030,280,456 it should be reported as
Include:
• Data for all Services establishments (excluding data for Retail, Wholesale, Manufacturing, Mining, and
Construction operations) as defined by the survey coverage in 1 B.
• Data for auxiliary facilities primarily engaged in supporting services to those establishment(s) such as warehouses,
garages, central administrative offices, and repair services.
1

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-22010A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

22011027

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-22010A
4

Page 3

(DRAFT)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at least six
months of data for the 2018 calendar year.
2018
What time period is covered by the data provided in this report?
Beginning Date

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

22011035

Mil.

2018
Thou.

Dol.

Sales of Energy and Resources
a. Electricity generation and distribution

$ Bil.

. . . . . . . . . . . . . .

5501

b. Natural gas distribution to final customer . . . . . . . . . . . .

5502

c. Water

5503

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d. Other revenue from sales of energy and resources
Other Operating Revenue

. . . . . .

a. Sewer system user charges . . . . . . . . . . . . . . . . . . . . . .
b. All other operating revenue - Revenue not reported in lines
1a through 2a. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

5504

5505

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2b
. . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-22010A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

No
D. Of the total 2018 revenues reported in 6 ,
what was the dollar amount (or percentage)
that was from the revenues identified in
A-C above? Please provide an estimate if
exact figures are not available. . . . . . . . .

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 and 10 Not Applicable.
11 CLASS OF CUSTOMER
What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018?

2018
Percent

was received from the

1. Residential customers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5750

2. Non-residential customers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5751

%
+

1 00%

22011043

12 and 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-22010A

Page 5

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Mark "X"
if None

22011050

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-22010A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses - Continued
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

22011068

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-22010A

Page 7

(DRAFT)

22011076

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-22010E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

22010011

GENERAL INSTRUCTIONS
Throughout this survey, any reference to "this firm" is referring to the EIN that is printed in the mailing address
area or the new EIN that was provided as a response in 2 . Any responses related to "this firm" should only
include data for the EIN referenced.
• Any significant change in this firm's operations should be noted in 17 .
• For establishments sold or acquired in 2018, 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.
• Do not combine data for two or more detailed lines.
• Report data on an accrual basis, except for payroll.
$ Bil.
Mil.
Thou.
Dol.
• Figures should be rounded to the nearest dollar.
1 030280456
• If a figure is $1,030,280,456 it should be reported as
Include:
• Data for all Services establishments (excluding data for Retail, Wholesale, Manufacturing, Mining, and
Construction operations) operating under the EIN printed in the mailing address area.
• Data for auxiliary facilities primarily engaged in supporting services to those establishment(s) such as warehouses,
garages, central administrative offices, and repair services.
1

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-22010E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

22010029

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-22010E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

22010037

Mil.

2018
Thou.

Dol.

Sales of Energy and Resources
a. Electricity generation and distribution

$ Bil.

. . . . . . . . . . . . . .

5501

b. Natural gas distribution to final customer . . . . . . . . . . . .

5502

c. Water

5503

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d. Other revenue from sales of energy and resources
Other Operating Revenue

. . . . . .

5504

5505

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2b
. . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-22010E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 and 10 Not Applicable.
11 CLASS OF CUSTOMER
What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018?

2018
Percent

was received from the

1. Residential customers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5750

2. Non-residential customers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5751

%
+

1 00%

22010045

12 and 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-22010E

Page 5

(DRAFT)

22010052

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-22010E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

22010060

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-22010E

Page 7

(DRAFT)

22010078

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-22130A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

22131015

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-22130A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

22131023

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-22130A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

Mil.

2018
Thou.

Dol.

Water and Sewage
a. Water sales

$ Bil.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b. Sewer system user charges . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1a through 1b. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

5551

5552

1799

1800

Not Applicable.

22131031

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 4

Form SA-22130A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 and 10 Not Applicable.
11 CLASS OF CUSTOMER
What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018?

2018
Percent

was received from the

1. Residential customers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5750

2. Non-residential customers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5751

%
+

1 00%

22131049

12 and 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-22130A

Page 5

(DRAFT)

22131056

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-22130A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

22131064

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-22130A

Page 7

(DRAFT)

22131072

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-22130E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

22130017

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-22130E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

22130025

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-22130E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

Mil.

2018
Thou.

Dol.

Water and Sewage
a. Water sales

$ Bil.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5551

5552

1799

1800

Not Applicable.

22130033

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 4

Form SA-22130E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 and 10 Not Applicable.
11 CLASS OF CUSTOMER
What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018?

2018
Percent

was received from the

1. Residential customers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5750

2. Non-residential customers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5751

%
+

1 00%

22130041

12 and 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-22130E

Page 5

(DRAFT)

22130058

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-22130E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

22130066

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-22130E

Page 7

(DRAFT)

22130074

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

48001010

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

48001028

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48000A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

48001036

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-48000A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.
14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.

48001044

Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.

CONTINUE ON PAGE 5

Form SA-48000A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48001051

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials. Report packaged software in line 3b, the cost of motor
fuels in line 3d, and leased and rented equipment in line 4c. . . . . .
Expensed Purchased Services
a. Purchased freight transportation - Contract payments to
railroads, airlines, waterborne, and other motor carriers. Report
the cost of leased and rented transportation equipment without
operators in line . Report travel expenses in line 4c . . . . . . . . .
b. Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . .
c. Purchased repairs and maintenance to transportation
equipment - Expensed repair and maintenance services to motor
vehicles, vessels, aircraft, and other transportation equipment.
Exclude materials, parts, and supplies used for repairs and
maintenance performed by this firm's employees . . . . . . . . . .
d. Purchased fuels for transportation equipment - Gasoline and
other fuels purchased for trucks, truck-tractors, and other motor
vehicles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Operating Expenses
a. Cost of Insurance - Premiums for bonding and insurance not
included in line 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48000A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48001069

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

CONTINUE ON PAGE 7

Form SA-48000A

Page 7

(DRAFT)

18 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 address

48001077

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

48000012

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

48000020

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48000E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

48000038

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-48000E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

48000046

CONTINUE ON PAGE 5

Form SA-48000E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48000053

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48000E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48000061

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

CONTINUE ON PAGE 7

Form SA-48000E

Page 7

(DRAFT)

18 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 address

48000079

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48100A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

48101018

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48100A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

48101026

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48100A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

. . . .

5575

b. International, scheduled passenger transportation by air . .

5576

c. Domestic, non-scheduled passenger transportation by air .
d. International, non-scheduled passenger transportation by
air
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Domestic scheduled freight transportation by air . . . . . . .

48101034

Mil.

2018
Thou.

Dol.

Air Transportation Revenue
a. Domestic, scheduled passenger transportation by air

$ Bil.

f. International, scheduled freight transportation by air . . . .
All other operating revenue - Revenue not reported in lines
1a through 1f. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

5577

5578

5579

5580

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-48100A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

48101042

CONTINUE ON PAGE 5

Form SA-48100A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48101059

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48100A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48101067

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

CONTINUE ON PAGE 7

Form SA-48100A

Page 7

(DRAFT)

18 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 address

48101075

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48100E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

48100010

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48100E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

48100028

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48100E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

. . . .

5575

b. International, scheduled passenger transportation by air . .

5576

48100036

Mil.

2018
Thou.

Dol.

Air Transportation Revenue
a. Domestic, scheduled passenger transportation by air

$ Bil.

5577

5578

5579

5580

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-48100E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

48100044

CONTINUE ON PAGE 5

Form SA-48100E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48100051

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48100E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48100069

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

CONTINUE ON PAGE 7

Form SA-48100E

Page 7

(DRAFT)

18 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 address

48100077

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48121A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

48122014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48121A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

48122022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48121A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

. . . .

5575

b. International, scheduled passenger transportation by air . .

5576

c. Domestic, non-scheduled passenger transportation by air .
d. International, non-scheduled passenger transportation by
air
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2018
Thou.

Dol.

5577

5578

e. Domestic scheduled freight transportation by air . . . . . . .

5579

f. International, scheduled freight transportation by air

. . . .

5580

. . .

5581

g. Domestic, non-scheduled freight transportation by air

48122030

Mil.

Air Transportation Revenue
a. Domestic, scheduled passenger transportation by air

$ Bil.

h. International, non-scheduled freight transportation by air .
All other operating revenue - Revenue not reported in lines
1a through 1h. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

5582

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-48121A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

48122048

CONTINUE ON PAGE 5

Form SA-48121A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48122055

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48121A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48122063

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

CONTINUE ON PAGE 7

Form SA-48121A

Page 7

(DRAFT)

18 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 address

48122071

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48121E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

48121016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48121E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

48121024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48121E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

. . . .

5575

b. International, scheduled passenger transportation by air . .

5576

2018
Thou.

Dol.

5577

5578

e. Domestic scheduled freight transportation by air . . . . . . .

5579

f. International, scheduled freight transportation by air

. . . .

5580

. . .

5581

g. Domestic, non-scheduled freight transportation by air

48121032

Mil.

Air Transportation Revenue
a. Domestic, scheduled passenger transportation by air

$ Bil.

5582

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-48121E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

48121040

CONTINUE ON PAGE 5

Form SA-48121E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48121057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48121E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48121065

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

CONTINUE ON PAGE 7

Form SA-48121E

Page 7

(DRAFT)

18 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 address

48121073

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48300A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

48301014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48300A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

48301022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48300A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

48301030

Mil.

2018
Thou.

Dol.

Water Transportation Revenue
a. Transportation of freight and cargo by water . . . . . . . . . .

5600

b. Towing services by water . . . . . . . . . . . . . . . . . . . . . . .

5601

c. Harbor tugboat services . . . . . . . . . . . . . . . . . . . . . . . .
Passenger Transportation by Water
a. Coastal and Great Lakes fixed-route, passenger
transportation by water . . . . . . . . . . . . . . . . . . . . . . . .
b. Cruises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Participatory recreational services by water craft, except
overnight cruises with cabin accommodation . . . . . . . . .
d. Sightseeing by water . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

e. Other transportation of passengers by water . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1a through 2e. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

5602

5603

5605

5606

5607

5604

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.
CONTINUE ON PAGE 4

Form SA-48300A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

48301048

CONTINUE ON PAGE 5

Form SA-48300A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48301055

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48300A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48301063

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

CONTINUE ON PAGE 7

Form SA-48300A

Page 7

(DRAFT)

18 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 address

48301071

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48300E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

48300016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48300E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

48300024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48300E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

48300032

Mil.

2018
Thou.

Dol.

Water Transportation Revenue
a. Transportation of freight and cargo by water . . . . . . . . . .

5600

b. Towing services by water . . . . . . . . . . . . . . . . . . . . . . .

5601

$ Bil.

5602

5603

5605

5606

5607

5604

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.
CONTINUE ON PAGE 4

Form SA-48300E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

48300040

CONTINUE ON PAGE 5

Form SA-48300E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48300057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48300E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48300065

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

CONTINUE ON PAGE 7

Form SA-48300E

Page 7

(DRAFT)

18 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 address

48300073

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48400A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

48401012

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48400A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

48401020

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48400A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

48401038

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Prorate revenue derived from services provided on a contractual basis according to the work accomplished. (Only
include amounts applicable to the report period.)
• Amounts received for work subcontracted to others.
• Market value of compensation in lieu of cash.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Dues and assessments from members and affiliates.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers/clients and paid directly to a local, state, or federal tax agency.
• Rents and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
• Non-operating revenue such as income from investments, sales of company-owned real estate (land and building), or
other assets (except inventory held for resale, securities, gifts, loans, contributions, or grants).
• Revenue from the sale of used equipment.
Lines 1 through 3 - General freight trucking, specialized freight trucking, and household goods moving
Report revenue for transportation of goods by motor vehicles. Include revenue from furnishing vehicles with drivers
to other carriers under lease or similar arrangement.
If part of the transportation was purchased from another carrier to complete the contract, use the following guidelines:
• Report total revenue if all purchased transportation was on your own account. (You have legal obligation to pay for
the purchased transportation.)
• Report only the revenue collected for your portion of the haul, plus any additional income from commissions and
fees for arranging the transportation, if the transportation was purchased on the client's account. (Your client has legal
obligation to pay for the purchased transportation.)
Line 4 - All other operating revenue
Report other operating revenue including sales from the operation of lunchrooms, restaurants, snowplow work, etc.;
revenue from the parking and storage of vehicles; revenue received from other carriers for the use of this firm's
terminal facilities, including amounts billed separately for repair services; revenue from short-term rental or extendedterm operating leases (with or without maintenance) of trucks, truck-tractors, or trailers, without drivers; fair sales
value of merchandise marketed under capital, finance, or "full payout" leases; and commissions for providing brokerage
services, making payroll deductions, collecting freight charges for other carriers; etc. Exclude revenue from this firm's
other operating units; the value of used equipment or vehicles sold; revenue from installment payments from leasing
vehicles, tools, etc., marketed under capital, finance, or "full payout" leases; and non-operating revenue such as income
from investments, sale of securities, real estate, etc.
Report revenue from the storage of shipments in your warehouses pending further instructions by the shipper; from
the permanent storage of household goods on a paid-on-delivery basis, commercial goods, or records storage; and
for packing and crating, handling, providing labor to carriers for loading and unloading, and other accessory services.
Exclude rental revenue from the operation of mini-warehouses/self-service storage facilities and from the subleasing of
warehousing space to others.

CONTINUE ON PAGE 4

Form SA-48400A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

General Freight Trucking
a. Local - goods carried within a single metropolitan area and
its adjacent nonurban areas; generally same-day return
trips - Include agriculural products, coal and petroleum products,
and pharmaceutical and chemical products.
. . . . . . . . . . . . .
b. Long distance - goods carried between metropolitan areas
- Include agriculural products, coal and petroleum products, and
pharmaceutical and chemical products. . . . . . . . . . . . . . . . .
Specialized Freight Trucking (requiring specialized equipment
such as flatbeds, tankers or refrigerated trailers)
a. Local - goods carried within a single metropolitan area
and its adjacent nonurban areas; generally same-day
return trips - Include grains, alcohol and tobacco products,
stone, non-metallic minerals and metallic ores, wood products,
textiles and leather, base metal and machinery, electronic and
precision instruments and motorized vehicles, new furniture and
miscellaneous manufactured products . . . . . . . . . . . . . . . . .
b. Long distance - goods carried between metropolitan areas Include grains, alcohol and tobacco products, stone, non-metallic
minerals and metallic ores, wood products, textiles and leather,
base metal and machinery, electronic and precision instruments
and motorized vehicles, new furniture and miscellaneous
manufactured products . . . . . . . . . . . . . . . . . . . . . . . . . .
Household Goods Moving
a. Household goods moving - Include furniture, appliances and
misc office products . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1a through 3a. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

5063

5064

5066

5067

5069

1799

1800

Not Applicable.

48401046

TOTAL OPERATING REVENUE
Sum of lines 1a through 4 . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-48400A
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

Not Applicable.

48401053

$ Bil.

CONTINUE ON PAGE 6

Form SA-48400A

Page 6

(DRAFT)

10 ANALYSIS OF MOTOR CARRIER OPERATIONS
A. What percent of this firm's motor carrier revenue was derived from handling each of the
following commodities?

2018
Percent

1. Agricultural products - Includes live animals, poultry, fish, unprocessed cereal grains such
as wheat and corn, and other agricultural products including fruits, vegetables, non-alcoholic
beverages, cut flowers, and live plants . . . . . . . . . . . . . . . . . . . . . . . . . . .

5070

2. Grains, alcohol, and tobacco products - Includes milled grain products and preparations;
other prepared foodstuff; beer, wine, and other alcoholic beverages; and tobacco products
including cigarettes, cigars, and chewing tobacco . . . . . . . . . . . . . . . . . . . . . .

5071

5072

5073

5. Pharmaceutical and chemical products - Includes pharmaceutical products, chemical
products, paints and varnishes, soap and cleaning products, insecticides, fertilizers, primary
plastics and finished plastic products, and rubber products including tires and inner tubes . .

5074

6. Wood products, textiles, and leather - Includes logs and other rough wood, particle
board, plywood, fiberboard, pulp, newsprint, paper, and paperboard products. Textiles
products include yarns and woven products of natural or synthetic materials, carpets
and other textile floor coverings, and textile clothing. Leather products include footwear,
headgear, and other articles of leather . . . . . . . . . . . . . . . . . . . . . . . . . . .

5075

7. Base metal and machinery - Includes base metal and primary metal products such as
pipes, ingots, metal doors, basic wire, cable, fencing, tools, etc. Machinery includes boilers,
turbines, refrigerating and air conditioning equipment, textile machines, and other mechanical
machinery and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5076

5077

5078

5079

3. Stone, non-metallic minerals, and metallic ores - Includes monument or building
stone, natural sands, gravel and crushed stone, mined salt, natural calcium and aluminum,
phosphates, asbestos, other non-metallic minerals, and metallic ores and concentrates . . . .
4. Coal and petroleum products - Includes coal, crude petroleum, gasoline and aviation fuel,
diesel fuel and light fuel oils, lubricating oils and greases, and basic chemicals . . . . . . . .

8. Electronic and precision instruments and motorized vehicles - Includes electronic
equipment such as computers, electronic motors, generators, office equipment, television
sets, radios and stereo equipment, cinematographic and photocopying equipment, clocks
and watches, instruments used in medical, surgical, or veterinary sciences, and measuring,
checking, or automatic control instruments or apparatus . . . . . . . . . . . . . . . . . . .
9. Used household and office goods - Includes used furniture, appliances, and
miscellaneous office products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. New furniture and miscellaneous manufactured products - Includes new furniture,
mattresses and mattress supports, quilts or comforters, lamps, lighting, mixed freight, and
miscellaneous manufactured products . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. All other motor carrier revenue not derived from the commodities in lines 1 through
10 - Specify
1510

5080

1 00%
B. Were any of the commodities that this firm hauled designated hazardous materials, i.e.,
required you to display a hazmat placard on the vehicle in accordance with Title 49, CFR
177.823, Transportation?
Yes
0033

48401061

No - Go to

2018
Percent

C. What percent of the total motor carrier revenue is from hauling hazardous materials?

. .

5081

11 Not Applicable.

CONTINUE ON PAGE 7

Form SA-48400A

Page 7

(DRAFT)

12 INVENTORIES AT END OF YEAR
Report the number of vehicles used or held for use in motor carrier operations on December 31, 2018.
Line 1 - B, C, and D
Report the number of vehicles owned and/or leased to others with drivers. Include inventory obtained through
capital lease agreements. Exclude vehicles that you own that were leased without drivers to others.
A. Did this firm own inventories, regardless of where held, at the end of 2018 (or the period for which you
are reporting)?
Yes
6043

No - Go to

2018
Number

B. Trucks - Include single-unit trucks, pickups, vans, etc.
1. Number owned and/or leased with drivers to others . . . . . . . . . . . .
2. Number leased without drivers from others . . . . . . . . . . . . . . . .
3. Total truck inventory
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5088

5089

5090

2018
Number

C. Truck-tractors - Include semi's and any detachable power-units
1. Number owned and/or leased with drivers to others . . . . . . . . . . . .
2. Number leased without drivers from others . . . . . . . . . . . . . . . .
3. Total truck-tractor inventory
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5091

5092

5093

2018
Number

D. Trailers - Include box-trailers, flatbeds, tankers, etc.
1. Number owned and/or leased with drivers to others . . . . . . . . . . . .
2. Number leased without drivers from others . . . . . . . . . . . . . . . .
3. Total trailer inventory
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5094

5095

5096

E. Were any of the inventories reported above stored outside or en route to the 50 states and the District
of Columbia in 2018?
Yes
6041

No - Go to

48401079

F. What was the value of inventories stored outside or en route to the
50 states and the District of Columbia in 2018?
Exclude inventory held in Foreign Trade Zones or in bond warehouses in
the U.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

6042

13 Not Applicable.

CONTINUE ON PAGE 8

Form SA-48400A

Page 8

(DRAFT)

48401087

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

ON PAGE 9
CONTINUE ON PAGE 9

Form SA-48400A

Page 9

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Expensed Purchased Services - Continued
c. Purchased repairs and maintenance to transportation
equipment - Expensed repair and maintenance services to motor
vehicles, vessels, aircraft, and other transportation equipment.
Exclude materials, parts, and supplies used for repairs and
maintenance performed by this firm's employees . . . . . . . . . .
d. Purchased fuels for transportation equipment - Gasoline and
other fuels purchased for trucks, truck-tractors, and other motor
vehicles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Operating Expenses
a. Cost of Insurance - Premiums for bonding and insurance not
included in line 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1847

5098

5099

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

48401095

15 and 16 Not Applicable.

CONTINUE ON PAGE 10

Form SA-48400A

Page 10

(DRAFT)

48401103

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48400E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

48400014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48400E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

48400022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48400E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

48400030

0008

Not Applicable.

CONTINUE ON PAGE 4

Form SA-48400E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

3.
4.

General Freight Trucking
a. Local - goods carried within a single metropolitan area and
its adjacent nonurban areas; generally same-day return
trips - Include agriculural products, coal and petroleum products,
and pharmaceutical and chemical products.
. . . . . . . . . . . . .
b. Long distance - goods carried between metropolitan areas
- Include agriculural products, coal and petroleum products, and
pharmaceutical and chemical products. . . . . . . . . . . . . . . . .
Specialized Freight Trucking (requiring specialized equipment
such as flatbeds, tankers or refrigerated trailers)
a. Local - goods carried within a single metropolitan area
and its adjacent nonurban areas; generally same-day
return trips - Include grains, alcohol and tobacco products,
stone, non-metallic minerals and metallic ores, wood products,
textiles and leather, base metal and machinery, electronic and
precision instruments and motorized vehicles, new furniture and
miscellaneous manufactured products . . . . . . . . . . . . . . . . .
b. Long distance - goods carried between metropolitan areas Include grains, alcohol and tobacco products, stone, non-metallic
minerals and metallic ores, wood products, textiles and leather,
base metal and machinery, electronic and precision instruments
and motorized vehicles, new furniture and miscellaneous
manufactured products . . . . . . . . . . . . . . . . . . . . . . . . . .
Household goods moving - Include furniture, appliances and misc
office products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1a through 3. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

5063

5064

5066

5067

5069

1799

1800

Not Applicable.

48400048

TOTAL OPERATING REVENUE
Sum of lines 1a through 4 . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-48400E
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

Not Applicable.

48400055

$ Bil.

CONTINUE ON PAGE 6

Form SA-48400E

Page 6

(DRAFT)

10 ANALYSIS OF MOTOR CARRIER OPERATIONS
A. What percent of this firm's motor carrier revenue was derived from handling each of the
following commodities?

2018
Percent

5070

5071

5072

5073

5074

5075

5076

5077

5078

5079

5080

48400063

No - Go to

2018
Percent

C. What percent of the total motor carrier revenue is from hauling hazardous materials?

. .

5081

11 Not Applicable.

CONTINUE ON PAGE 7

Form SA-48400E

Page 7

(DRAFT)

No - Go to

2018
Number

5088

5089

5090

2018
Number

5091

5092

5093

2018
Number

5094

5095

5096

E. Were any of the inventories reported above stored outside or en route to the 50 states and the District
of Columbia in 2018?
Yes
6041

No - Go to

48400071

$ Bil.

Mil.

2018
Thou.

Dol.

6042

13 Not Applicable.

CONTINUE ON PAGE 8

Form SA-48400E

Page 8

(DRAFT)

48400089

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

ON PAGE 9
CONTINUE ON PAGE 9

Form SA-48400E

Page 9

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1847

5098

5099

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

48400097

15 and 16 Not Applicable.

CONTINUE ON PAGE 10

Form SA-48400E

Page 10

(DRAFT)

48400105

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48500A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

48501019

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48500A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

48501027

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48500A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

48501035

Transit and Ground Passenger Transportation Revenue
a. Long-distance, fixed-route passenger transportation by
road . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Local, fixed-route passenger transportation by road and
transit rail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Long-distance, passenger transportation by road, except
fixed-route . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Local passenger transportation by road, except fixed-route
All other operating revenue - Revenue not reported in lines
1a through 1d. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

5625

5626

5627

5628

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-48500A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

48501043

CONTINUE ON PAGE 5

Form SA-48500A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48501050

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48500A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48501068

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

CONTINUE ON PAGE 7

Form SA-48500A

Page 7

(DRAFT)

18 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 address

48501076

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48500E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

48500011

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48500E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

48500029

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48500E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

48500037

$ Bil.

Mil.

2018
Thou.

Dol.

5625

5626

5627

5628

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-48500E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

48500045

CONTINUE ON PAGE 5

Form SA-48500E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48500052

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48500E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48500060

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

CONTINUE ON PAGE 7

Form SA-48500E

Page 7

(DRAFT)

18 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 address

48500078

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48610A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

48611016

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48610A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

48611024

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48610A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

Pipeline Transportation Revenue
a. Transportation of bulk natural gas and liquefied natural gas
by pipeline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Transportation of bulk crude oil by pipeline
. . . . . . . . . .
c. Transportation of refined petroleum products (including
ethylene and other petrochemicals) by pipeline . . . . . . . .

48611032

d. Transportation of other bulk liquids and gases by pipeline .
All other operating revenue - Revenue not reported in lines
1a through 1d. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

5650

5651

5652

5653

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-48610A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

48611040

CONTINUE ON PAGE 5

Form SA-48610A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48611057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48610A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48611065

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

CONTINUE ON PAGE 7

Form SA-48610A

Page 7

(DRAFT)

18 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 address

48611073

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-48610E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

48610018

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-48610E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

48610026

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-48610E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

48610034

$ Bil.

Mil.

2018
Thou.

Dol.

5650

5651

5652

5653

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-48610E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

48610042

CONTINUE ON PAGE 5

Form SA-48610E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

48610059

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

5097

1826

1847

5098

5099

1831

1879

CONTINUE WITH

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-48610E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1900

15 and 16 Not Applicable.

48610067

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

CONTINUE ON PAGE 7

Form SA-48610E

Page 7

(DRAFT)

18 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 address

48610075

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-49000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

49001019

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-49000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

49001027

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-49000A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

49001035

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-49000A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

49001043

CONTINUE ON PAGE 5

Form SA-49000A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

49001050

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-49000A

Page 6

(DRAFT)

49001068

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-49000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

49000011

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-49000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

49000029

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-49000E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

49000037

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-49000E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

49000045

CONTINUE ON PAGE 5

Form SA-49000E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

49000052

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-49000E

Page 6

(DRAFT)

49000060

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51001014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51001022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51000A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

51001030

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-51000A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 11 Not Applicable.
12 INVENTORIES AT END OF YEAR
Report inventories at end of year at cost or market value using generally accepted accounting principles.
Include:
• Inventory held in Foreign Trade Zones or in bond warehouses in the United States.
A. Did this firm own inventories, regardless of where held, at the end of 2018 (or the period for
which you are reporting)?
Yes
6043

No - Go to

51001048

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51000A

Page 5

(DRAFT)

51001055

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51000A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51001063

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51000A

Page 7

(DRAFT)

51001071

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51000016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51000024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51000E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

51000032

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-51000E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51000040

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51000E

Page 5

(DRAFT)

51000057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51000E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51000065

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51000E

Page 7

(DRAFT)

51000073

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51111A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51121010

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51111A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51121028

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51111A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51121036

Newspapers (General and Specialized)
a. Subscriptions and sales - Subscriptions and sales of
newspapers consisting of multiple topics with the intent of
appealing to a broad audience. Include community newspapers
and subscriptions and sales of newspapers focusing on a single
topic or theme that is of special interest to a select audience . .
b. Advertising space - Advertising from newspapers consisting
of multiple topics with the intent of appealing to a broad
audience. Include community newspapers and advertising from
newspapers focusing on a single topic or theme that is of special
interest to a select audience . . . . . . . . . . . . . . . . . . . . . .
Other Operating Revenue
a. Printing services for others - Printing publications of any
type for others (e.g., books, magazines, newspapers, journals,
brochures, pamphlets, posters, calendars) . . . . . . . . . . . . . .
b. Distribution services - The distribution of materials owned by
others (e.g., flyers, inserts, samples) on a contractual basis . . .
c. All other operating revenue - Revenue not reported in lines
1a through 2b. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

6070

6071

6001

6002

$ Bil.

Mil.

2018
Thou.

Dol.

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2c . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51111A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

SOURCE OF REVENUE
Type of Media
A. How much of the newspaper revenue reported in
following categories?

2018
Percent

, lines 1a and 1b, is received from the

1. Print newspapers - Newspapers published on paper . . . . . . . . . . . . . . . . . . . .
2. Online newspapers - Newspapers published online . . . . . . . . . . . . . . . . . . . .
3. Other media newspapers - Newspapers published on any physical medium other than
paper or online (e.g., CD-ROM, audiocassette, DVD, microfilm, diskette) . . . . . . . . . . .

6065

6066

6067

1 00%
Type of Advertising
B. How much of the newspaper revenue reported in
following categories?

2018
Percent

, line 1b, is received from the

1. Classified advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6068

2. All other advertising

6069

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

%
+

51121044

1 00%
10 and 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51111A

Page 5

(DRAFT)

12 INVENTORIES AT END OF YEAR
Report inventories at end of year at cost or market value using generally accepted accounting principles.
Include:
• Inventory held in Foreign Trade Zones or in bond warehouses in the United States.
A. Did this firm own inventories, regardless of where held, at the end of 2018 (or the period for
which you are reporting)?
Yes
6043

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
• Revenue from the sale of personal, business, or mainframe computer software to clients and customers located
outside the United States.
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

51121051

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 6

Form SA-51111A

Page 6

(DRAFT)

51121069

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6003

ON PAGE 7

CONTINUE ON PAGE 7

Form SA-51111A

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51121077

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-51111A

Page 8

(DRAFT)

51121085

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51111E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51111011

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51111E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51111029

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51111E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51111037

6070

6071

6001

6002

$ Bil.

Mil.

2018
Thou.

Dol.

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2c . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51111E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

SOURCE OF REVENUE
Type of Media
A. How much of the newspaper revenue reported in
following categories?

2018
Percent

, lines 1a and 1b, is received from the

6065

6066

6067

1 00%
Type of Advertising
B. How much of the newspaper revenue reported in
following categories?

2018
Percent

, line 1b, is received from the

1. Classified advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6068

2. All other advertising

6069

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

%
+

51111045

1 00%
10 and 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51111E

Page 5

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

51111052

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 6

Form SA-51111E

Page 6

(DRAFT)

51111060

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6003

ON PAGE 7

CONTINUE ON PAGE 7

Form SA-51111E

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51111078

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-51111E

Page 8

(DRAFT)

51111086

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51112A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51122018

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51112A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51122026

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51112A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51122034

Periodicals (General Interest, Professional and Academic, and
Other)
a. Subscriptions and sales - Subscriptions and sales to periodicals
covering multiple topics of general interest intended to appeal
to a broad audience (e.g., news, business news, sports,
health, fashion, and housekeeping magazines; entertainment
guides; comic books). Subscriptions and sales to periodicals
covering topics directed towards professional audiences (e.g.,
scholarly journals, law reviews, business reports, trade journals).
Subscriptions and sales to periodicals covering topics directed
at other specific audiences (e.g., nonconsumer advertising, real
estate listings, religious periodicals) . . . . . . . . . . . . . . . . . .
b. Advertising space - Advertising from periodicals covering
multiple topics of general interest intended to appeal to a broad
audience (e.g., news, business news, sports, health, fashion,
and housekeeping magazines; entertainment guides; comic
books). Advertising from periodicals covering topics directed
towards professional audiences (e.g., scholarly journals, law
reviews, business reports, trade journals). Advertising from
periodicals covering topics directed at other specific audiences
(e.g., nonconsumer advertising, real estate listings, religious
periodicals) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Operating Revenue
a. Printing services for others - Printing publications of any
type for others (e.g., books, magazines, newspapers, journals,
brochures, pamphlets, posters, calendars) . . . . . . . . . . . . . . .
b. Licensing of rights to content - Selling or licensing the right
to reproduce all or part of a work of intellectual property for an
agreed period of time. Include rights to reproduce or adapt to
another format, medium, language or territory. Exclude the
outright sale of rights in perpetuity; report these in line 2c . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6072

6073

6001

6087

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51112A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Other Operating Revenue - Continued
c. All other operating revenue - Revenue not reported in lines
1a through 2b. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

TOTAL OPERATING REVENUE
Sum of lines 1a through 2c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

SOURCE OF REVENUE
How much of the periodical revenue reported in
following categories?
1. Print periodicals - Periodicals on paper

51122042

$ Bil.

2018
Percent

, lines 1a through 1b, is received from the

. . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Online periodicals - Periodicals published online . . . . . . . . . . . . . . . . . . . . . . .
3. Other media periodicals - Periodicals published on any physical medium other than paper or
online (e.g., CD-ROM, audiocassette, DVD, microfilm, diskette) . . . . . . . . . . . . . . . . .

6088

6089

6090

1 00%
10 and 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51112A

Page 5

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

51122059

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 6

Form SA-51112A

Page 6

(DRAFT)

51122067

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6003

ON PAGE 7

CONTINUE ON PAGE 7

Form SA-51112A

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51122075

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-51112A

Page 8

(DRAFT)

51122083

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51112E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51112019

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51112E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51112027

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51112E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51112035

$ Bil.

Mil.

2018
Thou.

Dol.

6072

6073

6001

6087

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51112E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

TOTAL OPERATING REVENUE
Sum of lines 1a through 2c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

SOURCE OF REVENUE
How much of the periodical revenue reported in
following categories?
1. Print periodicals - Periodicals on paper

51112043

$ Bil.

2018
Percent

, lines 1a through 1b, is received from the

. . . . . . . . . . . . . . . . . . . . . . . . . . .

6088

6089

6090

1 00%
10 and 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51112E

Page 5

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

51112050

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 6

Form SA-51112E

Page 6

(DRAFT)

51112068

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6003

ON PAGE 7

CONTINUE ON PAGE 7

Form SA-51112E

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51112076

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-51112E

Page 8

(DRAFT)

51112084

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51113A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51123016

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51113A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51123024

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51113A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51123032

Books
a. Textbooks - Books primarily used as educational material
(e.g., workbooks, teachers' manuals, resource and interactive
materials) for students and teachers in formal study programs:
elementary, high school, and post secondary levels (e.g., trade
schools, colleges, universities). Include reference books published
specifically for the educational system. Exclude standardized
tests; report these in line 2 . . . . . . . . . . . . . . . . . . . . . . . .
b. Children's books - Books published for children and young
adults (up to age 15) (e.g., picture books, children"s reference
books, educational books not intended for use in the classroom).
Exclude coloring books and activity books; report these in line 2
c. General reference books - Books published primarily
for general reference purposes for the public at large (e.g.,
dictionaries, encyclopedias, thesauruses, atlases) . . . . . . . . . .
d. Professional, technical, and scholarly books - Books
containing research, advanced knowledge or information for the
academic and research community; also includes books used by
individuals in the practice of specific occupations or professions
(e.g., lawyers, doctors, electricians, accountants, business or
computer professionals). Include specialized reference books . .
e. Adult trade books - Books published for the adult public at
large (e.g., literary fiction, non-fiction, religious books, bibles and
hymnals, poetry and drama, histories, biographies, cook books,
travel guides) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6101

6102

6103

6104

6105

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-51113A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

All other operating revenue - Revenue not reported in lines
1a through 1e. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

SOURCE OF REVENUE
How much of the book revenue reported in
following categories?
1. Print books - Books published on paper

51123040

$ Bil.

2018
Percent

, lines 1a through 1e, is received from the

. . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Online books - Books published online . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Other media books - Books published on any physical medium other than paper or online (e.g.,
CD-ROM, audiocassette, DVD, microfilm, diskette) . . . . . . . . . . . . . . . . . . . . . . .

6106

6107

6108

1 00%
10 and 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51113A

Page 5

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

51123057

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 6

Form SA-51113A

Page 6

(DRAFT)

51123065

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6003

ON PAGE 7

CONTINUE ON PAGE 7

Form SA-51113A

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51123073

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-51113A

Page 8

(DRAFT)

51123081

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51113E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51113017

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51113E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51113025

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51113E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51113033

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6101

6102

6103

6104

6105

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-51113E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

All other operating revenue - Revenue not reported in lines
1a through 1e. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

SOURCE OF REVENUE
How much of the book revenue reported in
following categories?
1. Print books - Books published on paper

51113041

$ Bil.

2018
Percent

, lines 1a through 1e, is received from the

. . . . . . . . . . . . . . . . . . . . . . . . . . .

6106

6107

6108

1 00%
10 and 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51113E

Page 5

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

51113058

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 6

Form SA-51113E

Page 6

(DRAFT)

51113066

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6003

ON PAGE 7

CONTINUE ON PAGE 7

Form SA-51113E

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51113074

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-51113E

Page 8

(DRAFT)

51113082

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51114A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51124014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51114A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51124022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51114A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51124030

Directories, Databases, and Other Collections of Information
a. Subscriptions and sales - Subscriptions and sales of directories
(e.g., telephone, business, trade, municipal, city directories).
Subscriptions and sales of databases and other collections of
information in which the primary content is something other than
contact information . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Advertising space - Advertising from directories (e.g., telephone,
business, trade, municipal, city directories). Advertising from
databases and other collections of information in which the
primary content is something other than contact information . . .
Other Operating Revenue
a. Rental or sale of mailing lists - Lists of names and addresses
of individuals or businesses . . . . . . . . . . . . . . . . . . . . . . .
b. All other operating revenue - Revenue not reported in lines
1a through 2a. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6129

6130

6135

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2b
. . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51114A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

SOURCE OF REVENUE
How much of the directories, databases, and other collections of information revenue
reported in 6 , lines 1a and 1b, is received from the following categories?

2018
Percent

1. Print directories, databases, and other collections of information - Directories, databases,
and other collections of information published on paper . . . . . . . . . . . . . . . . . . . .
2. Online directories, databases, and other collections of information - Directories,
databases, and other collections of information published online . . . . . . . . . . . . . . . .
3. Other media directories, databases, and other collections of information - Directories,
databases, and other collections of information published on any physical medium other than
paper or online (e.g., CD-ROM, audiocassette, DVD, microfilm, diskette) . . . . . . . . . . . . .

6136

6137

6138

1 00%

51124048

10 and 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51114A

Page 5

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

51124055

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 6

Form SA-51114A

Page 6

(DRAFT)

51124063

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6003

ON PAGE 7

CONTINUE ON PAGE 7

Form SA-51114A

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51124071

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-51114A

Page 8

(DRAFT)

51124089

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51114E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51114015

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51114E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51114023

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51114E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51114031

$ Bil.

Mil.

2018
Thou.

Dol.

6129

6130

6135

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2b
. . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51114E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

SOURCE OF REVENUE
How much of the directories, databases, and other collections of information revenue
reported in 6 , lines 1a and 1b, is received from the following categories?

2018
Percent

6136

6137

6138

1 00%

51114049

10 and 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51114E

Page 5

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

51114056

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 6

Form SA-51114E

Page 6

(DRAFT)

51114064

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6003

ON PAGE 7

CONTINUE ON PAGE 7

Form SA-51114E

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51114072

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-51114E

Page 8

(DRAFT)

51114080

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51118A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51125011

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51118A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51125029

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51118A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Allowances for cash and other discounts.
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

1.
2.

Greeting cards - Greeting cards published on paper or the Internet
All other operating revenue - Revenue not reported in line 1. If
this item is greater than 20% of the total operating revenue,
specify the primary source of the revenue below

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

6141

1799

Not Applicable.

51125037

1800

CONTINUE ON PAGE 4

Form SA-51118A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51125045

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

CONTINUE ON PAGE 5

Form SA-51118A

Page 5

(DRAFT)

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

51125052

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51118A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3a and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed Purchased Services
a. Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . .
b. Purchased printing services - Purchased or contracted printing
services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

6003

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51125060

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51118A

Page 7

(DRAFT)

51125078

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51118E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51118016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51118E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51118024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51118E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

1.
2.

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

6141

1799

Not Applicable.

51118032

1800

CONTINUE ON PAGE 4

Form SA-51118E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51118040

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

CONTINUE ON PAGE 5

Form SA-51118E

Page 5

(DRAFT)

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

51118057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51118E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

6003

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51118065

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51118E

Page 7

(DRAFT)

51118073

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51119A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51126019

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51119A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51126027

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51119A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

1.
2.

Sale of advertising space - Advertising from content published on
paper or the Internet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in line 1. If
this item is greater than 20% of the total operating revenue,
specify the primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6151

1799

1800

Not Applicable.

51126035

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 4

Form SA-51119A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51126043

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

CONTINUE ON PAGE 5

Form SA-51119A

Page 5

(DRAFT)

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

51126050

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51119A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

6003

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51126068

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51119A

Page 7

(DRAFT)

51126076

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51119E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51119014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51119E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51119022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51119E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

1.
2.

$ Bil.

Mil.

2018
Thou.

Dol.

6151

1799

1800

Not Applicable.

51119030

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 4

Form SA-51119E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51119048

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

CONTINUE ON PAGE 5

Form SA-51119E

Page 5

(DRAFT)

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

51119055

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51119E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

6003

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51119063

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51119E

Page 7

(DRAFT)

51119071

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51120A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51127017

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51120A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51127025

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51120A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51127033

System Software Publishing
a. Operating systems software - Low-level software which
handles the interface to peripheral hardware, schedules tasks,
allocate storage, or presents a default interface to the user when
no application program is running. Include all client and network
operating systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Network software - Software that is used to control, monitor,
manage, or communicate with operating systems, networks,
network services, databases, storage and networked applications
in an integrated and cooperative fashion across a network server
software, security and encryption software, or middleware . . . .
c. Database management software - Collection or suites of
software programs that enable storage, modification, and
extraction of information from a database . . . . . . . . . . . . . . .
d. Development tools and programming languages software
- Software used to assist in the development or authoring of
computer programs. Include all program development tools and
programming languages . . . . . . . . . . . . . . . . . . . . . . . . .
e. Other systems software - All other systems software publishing
not reported in lines 1a through 1d . . . . . . . . . . . . . . . . . .
Application Software Publishing
a. General business productivity and home use applications
- Software used for general business purposes to improve
productivity, or in the home for entertainment, reference or
educational purposes (e.g., office suite applications such as word
processors, spreadsheets, simple databases, graphics applications,
project management software, computer-based training software,
games, reference, home education) . . . . . . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6161

6162

6163

6164

6165

6166

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-51120A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Application Software Publishing - Continued
b. Cross-industry application software - Software that is
designed to perform or manage a specific business function
or process that is not unique to a particular industry (e.g.,
professional accounting software, human resource management,
customer relations management software, Geographic Information
System software, webpage design software) . . . . . . . . . . . . .
c. Vertical market application software - Software that performs
a wide range of business functions for a specific industry (e.g.,
manufacturing, retail, healthcare, engineering, restaurants) . . . .
d. Utilities application software - Small computer programs that
perform a very specific task (e.g., compression programs, antivirus software, search engines, font, file viewers, voice recognition
software). Utilities differ from other application software in terms
of size, cost, and complexity . . . . . . . . . . . . . . . . . . . . . . .
e. Other application software - All other application software
publishing not reported in lines 2a through 2d . . . . . . . . . . .
Other Services
a. Custom application design and development - Design of
the structure and the writing of the computer code necessary
to create and implement a software application. Include the
customization and integration of packaged software . . . . . . . .
b. Information technology (IT) technical consulting services
- Providing advice or expert opinion on technical matters related
to the use of information technology (e.g., advice on matters
such as hardware and software requirements and procurement,
systems integration, and systems security; the provision of expert
testimony on IT related issues). Exclude advice on issues related
to business strategy . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Re-sale of computer hardware and software - Retailing of
computer hardware and software . . . . . . . . . . . . . . . . . . . .
d. Information Technology (IT) related training services Providing training for the use of computer hardware, software,
networks, or other IT related topics . . . . . . . . . . . . . . . . . . .
e. All other operating revenue - Revenue not reported in lines
1a through 3d. Include application service provisioning. If this
item is greater than 20% of the total operating revenue,
specify the primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6167

6168

6169

6170

6171

6004

6006

6007

1799

1800

Not Applicable.

51127041

TOTAL OPERATING REVENUE
Sum of lines 1a through 3e . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-51120A
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

SOURCE OF REVENUE
Type of System Software
A. How much of the system software revenue reported in
received from the following categories?

2018
Percent

, lines 1a through 1e, is

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6172

2. Enterprise or network software . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6173

3. Mainframe computer software . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6174

4. Other software

6175

1. Personal computer software

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 00%
Type of Application Software
B. How much of the application software revenue reported in
received from the following categories?

2018
Percent

, lines 2a through 2e, is

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6176

2. Enterprise or network software . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6177

3. Mainframe computer software . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6178

4. Other software

6179

1. Personal computer software

51127058

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 00%
10 and 11 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51120A

Page 6

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

51127066

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 7

Form SA-51120A

Page 7

(DRAFT)

51127074

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6180

ON PAGE 8

CONTINUE ON PAGE 8

Form SA-51120A

Page 8

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51127082

15 and 16 Not Applicable.

CONTINUE ON PAGE 9

Form SA-51120A

Page 9

(DRAFT)

51127090

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51120E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51120012

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51120E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51120020

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51120E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51120038

$ Bil.

Mil.

2018
Thou.

Dol.

6161

6162

6163

6164

6165

6166

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-51120E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

6167

6168

6169

6170

6171

6004

6006

6007

1799

1800

Not Applicable.

51120046

TOTAL OPERATING REVENUE
Sum of lines 1a through 3e . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-51120E
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

SOURCE OF REVENUE
Type of System Software
A. How much of the system software revenue reported in
received from the following categories?

2018
Percent

, lines 1a through 1e, is

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6172

2. Enterprise or network software . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6173

3. Mainframe computer software . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6174

4. Other software

6175

1. Personal computer software

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 00%
Type of Application Software
B. How much of the application software revenue reported in
received from the following categories?

2018
Percent

, lines 2a through 2e, is

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6176

2. Enterprise or network software . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6177

3. Mainframe computer software . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6178

4. Other software

6179

1. Personal computer software

51120053

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 00%
10 and 11 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51120E

Page 6

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

51120061

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 7

Form SA-51120E

Page 7

(DRAFT)

51120079

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6180

ON PAGE 8

CONTINUE ON PAGE 8

Form SA-51120E

Page 8

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51120087

15 and 16 Not Applicable.

CONTINUE ON PAGE 9

Form SA-51120E

Page 9

(DRAFT)

51120095

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51210A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51211019

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51210A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51211027

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51210A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51211035

Domestic licensing of rights to motion picture films - Granting
permission on a fee, royalty, or other basis, for an agreed period
of time, to exhibit, broadcast, or rent motion picture films. These
revenues are licensing (distribution) revenues, not revenue for
producing films . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Domestic licensing of rights to television programs - Granting
permission on a fee, royalty, or other basis, for an agreed period of
time, to broadcast or rent television programs. These revenues are
licensing (distribution) revenues, not revenue for producing programs
International licensing of rights to motion picture films Granting permission on a fee, royalty, or other basis, for an agreed
period of time, to exhibit, broadcast, or rent motion picture films.
These revenues are licensing (distribution) revenues, not revenue for
producing films . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
International licensing of rights to television programs Granting permission on a fee, royalty, or other basis, for an agreed
period of time, to broadcast or rent television programs. These
revenues are licensing (distribution) revenues, not revenue for
producing programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Audiovisual works speculatively produced for outright sale The production and sale of original audiovisual works (e.g., feature
films, short films, documentaries, serials, news and public affairs
shows, game shows, reality shows, made-for-TV movies). Sale of
such productions requires relinquishing all rights. Exclude programs
produced for own account and programs under contract . . . . . . . .
Contract production of audiovisual works - Contracted or fee
based production of audiovisual works (e.g., feature films, short
films, commercials, television programs, training and instruction,
public relations, promotional campaigns, public service messages,
educational, corporate, religious). Include all production aspects of
the fully completed or partially completed audiovisual work . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6191

6192

6193

6194

6195

6196

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51210A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Domestic licensing of rights to others to distribute audiovisual
works - Granting permission on a fee, royalty, or other basis to
another company to distribute audiovisual works (e.g., feature films,
short films, documentaries, serials, news and public affairs shows,
game shows, reality shows, made-for-TV movies) . . . . . . . . . . . .
8. International licensing of rights to others to distribute
audiovisual works - Granting permission on a fee, royalty, or
other basis to another company to distribute audiovisual works (e.g.,
feature films, short films, documentaries, serials, news and public
affairs shows, game shows, reality shows, made-for-TV movies) . . .
9. Sale of audiovisual works for the wholesale, retail, and rental
markets - The distribution of audiovisual works for the purpose of
resale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Other production services - Providing services for other producers
on all phases of preproduction (e.g., script editing, casting, location
scouting, consultation), production (e.g., cameramen, grips, sound
engineers, extras, special effects services), and postproduction (e.g.,
editing, transfer, color correction, digital restoration, visual effects,
animation, duplication of masters, format conversion, compression
and digital encoding, captioning, titling, subtitling, sound editing,
sound design) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Merchandise licensing - Granting permission to use word(s),
phrase(s), symbol(s), or design(s) for merchandise on a fee,
royalty, or other basis. Include merchandise licensing if the
licensing is performed at the location(s) involved in production
and/or distribution of audiovisual works. Exclude merchandise
licensing if the licensing is performed at separate establishment(s)
of the company not involved in production and/or distribution of
audiovisual works . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. All other operating revenue - Revenue not reported in lines
1 through 11. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

6197

6198

6199

6200

6201

1799

13. TOTAL OPERATING REVENUE
Sum of lines 1 through 12 . . . . . . . . . . . . . . . . . . . . . . . . .
Not Applicable.

51211043

1800

CONTINUE ON PAGE 5

Form SA-51210A
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51211050

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

Work-in-process . . . . . . . . . . . . . . . . . . . . . . . . .

1752

3.
4.

Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . .
TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

CONTINUE ON PAGE 6

Form SA-51210A

Page 6

(DRAFT)

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

51211068

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-51210A

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51211076

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-51210A

Page 8

(DRAFT)

51211084

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51210E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51210011

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51210E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51210029

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51210E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51210037

$ Bil.

Mil.

2018
Thou.

Dol.

6191

6192

6193

6194

6195

6196

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51210E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

6197

6198

6199

6200

6201

1799

13. TOTAL OPERATING REVENUE
Sum of lines 1 through 12 . . . . . . . . . . . . . . . . . . . . . . . . .
Not Applicable.

51210045

1800

CONTINUE ON PAGE 5

Form SA-51210E
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51210052

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

Work-in-process . . . . . . . . . . . . . . . . . . . . . . . . .

1752

3.
4.

Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . .
TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

CONTINUE ON PAGE 6

Form SA-51210E

Page 6

(DRAFT)

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

51210060

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-51210E

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51210078

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-51210E

Page 8

(DRAFT)

51210086

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51213A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51214013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51213A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51214021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51213A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Allowances for cash and other discounts.
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51214039

Admissions to feature film exhibitions - The projection of
theatrical feature films in movie theaters, cinemas, and other venues
that were produced by foreign or domestic production companies . .
Other Revenue
a. Food and beverage sales - The sales of food and beverages
(alcoholic and nonalcoholic) on the premises from snack bars,
stands, or vending machines that are owned or operated by the
theater owner. Include the sale of food and beverages from
franchise outlets operating on the premises when the theater
owner is the franchisee. If a franchise outlet in this establishment
is operated by another company other than the theater owner,
please report the sale of food and beverages in line 2b . . . . . .
b. Rental of retail space - The rental or leasing of space for retail
sale on a concession basis for merchandise, prepared food and
beverages at places of entertainment or recreation other than
sports venues. Include space for the rental of coin-operated
machines such as vending machines, video games and gambling
machines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Advertising services - The projection and/or display of
advertisements (including slides) on the movie screen and/or in
and around your facilities. Include advertising space sold by your
firm, as well as advertising space that is contracted out to another
firm or agency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Coin-operated games and rides - The operation of video
games, arcades, and other amusements on the premises. If
operated by other than the theater owner, please report this
revenue in line 2b . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6210

6213

6214

6215

6216

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-51213A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Other Revenue - Continued
e. All other operating revenue - Revenue not reported in lines
1 through 2d. If this item is greater than 20% of the total
operating revenue, specify the primary source of the
revenue below

TOTAL OPERATING REVENUE
Sum of lines 1 through 2e . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51214047

9 – 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51213A

Page 5

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

13 Not Applicable.
14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.

51214054

All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Mark "X"
if None

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-51213A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1822

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51214062

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51213A

Page 7

(DRAFT)

51214070

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51213E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51213015

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51213E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51213023

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51213E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Allowances for cash and other discounts.
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51213031

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6210

6213

6214

6215

6216

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-51213E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

TOTAL OPERATING REVENUE
Sum of lines 1 through 2e . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51213049

9 – 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51213E

Page 5

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

51213056

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-51213E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1822

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51213064

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51213E

Page 7

(DRAFT)

51213072

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51219A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51229011

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51219A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51229029

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51219A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

51229037

Audiovisual postproduction services - Providing computerized
and electronic image and sound processing services in audiovisual
works (e.g., editing, transfer, color correction, digital restoration,
visual effects, animation, duplication of masters, format conversion,
compression and digital encoding, captioning, titling, subtitling,
sound editing and design services) . . . . . . . . . . . . . . . . . . . . .
Motion picture film laboratory services - Processing motion
picture film, negative matching, color timing, printing (e.g.,
workprints, answer prints, intermediates), release printing, and film
cleaning, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Duplication and copying services - Multiple or limited duplication
of the master of a video, digital media, etc. Include screening copies,
approval copies, etc. The copies are usually on VHS, streaming video,
or DVD format. Exclude mass duplication of copies intended for the
retail or rental market. Limited reproduction of the master of a film,
video, digital media, etc. (e.g., edit masters, high definition masters,
clones, etc.) are included in line 1 . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1 through 3. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

6221

6222

6223

1799

5.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51219A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51229045

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

CONTINUE ON PAGE 5

Form SA-51219A

Page 5

(DRAFT)

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

51229052

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51219A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51229060

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51219A

Page 7

(DRAFT)

51229078

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51219E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51219012

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51219E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51219020

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51219E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

51219038

$ Bil.

Mil.

2018
Thou.

Dol.

6221

6222

6223

1799

5.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51219E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51219046

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

CONTINUE ON PAGE 5

Form SA-51219E

Page 5

(DRAFT)

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

51219053

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51219E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51219061

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51219E

Page 7

(DRAFT)

51219079

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51222A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51232015

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51222A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51232023

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51222A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

51232031

Licensing Revenue
a. Licensing of rights to use musical compositions - Granting
the right to use a musical composition (whose rights you own) on
a fee or royalty basis. A musical composition may be the lyrics,
the music, or both. Include public performance rights, mechanical
rights, synchronization rights, videogram rights, commercial
advertisement rights, and print rights . . . . . . . . . . . . . . . . .
b. Licensing of rights to use musical recordings - Granting the
right to use a copyrighted recording (whose rights you own) on a
fee or royalty basis. Exclude permission to use the copyrighted
composition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Operating Revenue
a. Sale of recordings - The sale of recordings (e.g., CDs, music
streaming and downloads, cassette tapes, vinyl records)
containing a variety of sound material (e.g., music, plays,
poetry, comedic routines). The sale of a recording is typically
accompanied by an implicit license, based upon the law, that
places some limits on the usage of the recording by the end
customer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. All other operating revenue - Revenue not reported in lines
1a through 2a. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6008

6009

6010

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2b
. . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.
CONTINUE ON PAGE 4

Form SA-51222A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51232049

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51222A

Page 5

(DRAFT)

51232056

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51222A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51232064

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51222A

Page 7

(DRAFT)

51232072

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51222E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51222016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51222E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51222024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51222E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

51222032

$ Bil.

Mil.

2018
Thou.

Dol.

6008

6009

6010

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2b
. . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.
CONTINUE ON PAGE 4

Form SA-51222E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51222040

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51222E

Page 5

(DRAFT)

51222057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51222E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51222065

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51222E

Page 7

(DRAFT)

51222073

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51223A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51233013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51223A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51233021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51223A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51233039

Licensing Revenue
a. Licensing of rights to use musical compositions - Granting
the right to use a musical composition (whose rights you own) on
a fee or royalty basis. A musical composition may be the lyrics,
the music, or both. Include public performance rights, mechanical
rights, synchronization rights, videogram rights, commercial
advertisement rights, and print rights . . . . . . . . . . . . . . . . .
b. Licensing of rights to use musical recordings - Granting the
right to use a copyrighted recording (whose rights you own) on a
fee or royalty basis. Exclude permission to use the copyrighted
composition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Operating Revenue
a. Administration of copyrights for others - Administering
copyright licenses owned by others. Include fees received from
ensuring that the copyright owner is paid for the use by others of
the copyrighted material . . . . . . . . . . . . . . . . . . . . . . . . .
b. Sale of recordings - The sale of recordings (e.g., CDs, music
streaming and downloads, cassette tapes, vinyl records)
containing a variety of sound material (e.g., music, plays,
poetry, comedic routines). The sale of a recording is typically
accompanied by an implicit license, based upon the law, that
places some limits on the usage of the recording by the end
customer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Print music - The sale of musical compositions in printed
form or electronic text. Include prints of owned compositions
and of those for which your company has obtained rights to
the composition copyright, which are then distributed as sheet
music, folios, or books in printed form or electronic text to
wholesalers and retailers for ultimate consumption by consumers.
The licensing of the rights is included in line 1a . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6008

6009

6231

6010

6232

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51223A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Other Operating Revenue - Continued
d. All other operating revenue - Revenue not reported in lines
1a through 2c. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

TOTAL OPERATING REVENUE
Sum of lines 1a through 2d
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51233047

9 – 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51223A

Page 5

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

51233054

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-51223A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1822

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51233062

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51223A

Page 7

(DRAFT)

51233070

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51223E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51223014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51223E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51223022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51223E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51223030

Licensing Revenue
a. Licensing of rights to use musical compositions - Granting
the right to use a musical composition (whose rights you own) on
a fee or royalty basis. A musical composition may be the lyrics,
the music, or both. Include public performance rights, mechanical
rights, synchronization rights, videogram rights, commercial
advertisement rights, and print rights . . . . . . . . . . . . . . . . .
b. Licensing of rights to use musical recordings - Granting the
right to use a copyrighted recording (whose rights you own) on a
fee or royalty basis. Exclude permission to use the copyrighted
composition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Operating Revenue
a. Administration of copyrights for others - Administering
copyright licenses owned by others. Include fees received from
ensuring that the copyright owner is paid for the use by others of
the copyrighted material . . . . . . . . . . . . . . . . . . . . . . . . .
b. Sale of recordings - The sale of recordings (e.g., CDs, music
streaming and downloads, cassette tapes, vinyl records)
containing a variety of sound material (e.g., music, plays,
poetry, comedic routines). The sale of a recording is typically
accompanied by an implicit license, based upon the law, that
places some limits on the usage of the recording by the end
customer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Print music - The sale of musical compositions in printed
form or electronic text. Include prints of owned compositions
and of those for which your company has obtained rights to
the composition copyright, which are then distributed as sheet
music, folios, or books in printed form or electronic text to
wholesalers and retailers for ultimate consumption by consumers.
The licensing of the rights is included in line 1a . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6008

6009

6231

6010

6232

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51223E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

TOTAL OPERATING REVENUE
Sum of lines 1a through 2d
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51223048

9 – 11 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51223E

Page 5

(DRAFT)

No - Go to

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

51223055

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-51223E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1822

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51223063

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51223E

Page 7

(DRAFT)

51223071

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51224A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51234011

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51224A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51234029

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51224A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

Studio recording - Services rendered in the process of converting
sounds, words, and music to a permanent physical format using the
specialized technical equipment of a sound recording studio. Exclude
all live recordings done outside a studio (e.g., concert hall, stadium,
outdoor stage, conference center) . . . . . . . . . . . . . . . . . . . . . .
Sound recording studio rental and leasing - Permitting others
to use a sound recording studio, without provision of primary
technicians. The studio supervises the client"s operation of the sound
recording equipment
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines 1
and 2. If this item is greater than 20% of the total operating
revenue, specify the primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6241

6242

51234037

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51224A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51234045

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51224A

Page 5

(DRAFT)

51234052

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51224A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51234060

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51224A

Page 7

(DRAFT)

51234078

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51224E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51224012

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51224E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51224020

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51224E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

$ Bil.

Mil.

2018
Thou.

Dol.

6241

6242

51224038

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51224E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

No - Go to

51224046

B. What was the value of the inventories owned by this firm on
December 31 in 2018?

$ Bil.

1. Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . .

1751

2. Work-in-process

1752

. . . . . . . . . . . . . . . . . . . . . . . . .

3. Materials, supplies, fuel, etc. . . . . . . . . . . . . . . . . . . .
4. TOTAL BOOK VALUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . .

1753

Mil.

2018
Thou.

Dol.

1754

13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51224E

Page 5

(DRAFT)

51224053

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51224E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51224061

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51224E

Page 7

(DRAFT)

51224079

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51510A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51511012

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51510A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51511020

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51510A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

1.
2.

National/regional/local air time - Providing air time for
broadcasting advertising content and program content (e.g.,
commercials, real estate listings, infomercials, sponsorship) . . . . . .
Public and non-commercial programming services - Providing
television and radio broadcasts, generally without the insertion of
advertising messages, for the benefit of the public at large. The
broadcasting of these programs is largely financed by grants, gifts,
subsidies, membership dues, underwriting, contracts, fundraising,
royalties, and sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines 1 and
2. Include network compensation. If this item is greater than
20% of the total operating revenue, specify the primary source
of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6250

6254

51511038

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51510A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51511046

CONTINUE ON PAGE 5

Form SA-51510A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

51511053

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4d. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Broadcast rights and music license fees - The cost of
broadcast rights to feature films, syndicated programming, sports
events, and other programming. Exclude capitalized costs . . . .
b. Network compensation fees (networks only) - The cost of
programming time purchased from affiliated and independent
stations. Exclude the cost of programming time purchased from
stations owned by your company . . . . . . . . . . . . . . . . . . . .
c. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
d. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6255

6256

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4d
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51510A

Page 6

(DRAFT)

51511061

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51510E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51510014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51510E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51510022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51510E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

1.
2.

$ Bil.

Mil.

2018
Thou.

Dol.

6250

6254

51510030

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51510E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51510048

CONTINUE ON PAGE 5

Form SA-51510E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

51510055

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4d. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Broadcast rights and music license fees - The cost of
broadcast rights to feature films, syndicated programming, sports
events, and other programming. Exclude capitalized costs . . . .
b. Network compensation fees (networks only) - The cost of
programming time purchased from affiliated and independent
stations. Exclude the cost of programming time purchased from
stations owned by your company . . . . . . . . . . . . . . . . . . . .
c. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
d. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6255

6256

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4d
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51510E

Page 6

(DRAFT)

51510063

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51520A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51521011

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51520A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51521029

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51520A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51521037

Advertising and Program Revenue
a. Licensing of rights to broadcast specialty programming
protected by copyright - Granting permission to broadcast
specialty television and audio programming (usually an entire
channel that is implicitly or explicitly protected by copyright
owned or controlled by the licensor) . . . . . . . . . . . . . . . . . .
b. Air time - Providing television air time to clients for broadcasting
both advertising content and program content, on television
stations and networks and on cable and other subscription
television program systems. Include local, regional, or national
air time; advertising content such as advertising messages,
real estate listings, infomercials, home shopping channels,
sponsorships; and non-commercial programs such as news,
financial, religious, educational, and community information
programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines 1a
and 1b. If this item is greater than 20% of the total operating
revenue, specify the primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6261

6012

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51520A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51521045

CONTINUE ON PAGE 5

Form SA-51520A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

51521052

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Program and production costs - Include talent and music
license fees, the value of bartered programming, and all other
costs of programming and production. Exclude capitalized costs
b. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6013

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51520A

Page 6

(DRAFT)

51521060

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51520E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51520013

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51520E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51520021

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51520E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51520039

$ Bil.

Mil.

2018
Thou.

Dol.

6261

6012

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51520E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51520047

CONTINUE ON PAGE 5

Form SA-51520E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

51520054

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Program and production costs - Include talent and music
license fees, the value of bartered programming, and all other
costs of programming and production. Exclude capitalized costs
b. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6013

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51520E

Page 6

(DRAFT)

51520062

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51710A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51711018

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51710A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51711026

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51710A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51711034

Fixed Services
a. Fixed local telephony - Providing access to the public switched
telephone network (PSTN) for the transmission and switching
of voice, data, and video within and between local calling areas,
where the call is made from a fixed location. Include basic
service connection fees; revenue from extended areas; local
private lines; public telephone services provided with the basic
service area; and fixed local calling features such as directory
assistance, caller identification, call forwarding, and call waiting
b. Fixed long-distance telephony - Providing outbound or
inbound calls made from a fixed customer location where
the call is paid for by the caller or the recipient and the call
transmits beyond the basic service area. Include international
call originating in the United States, any charges for operator
assistance or special billings directly related to these calls . . . .
c. Fixed all distance telephony (no distinction between local
or long distance) - Transmission and switching of voice, data,
and video over the public switched telephone network (PSTN),
where the call is made from a fixed customer location and where
the charges are not distance sensitive . . . . . . . . . . . . . . . .
Other Telecommunications Services
a. Carrier services - Providing wired or wireless services
to originate, terminate, or transmit calls for another
telecommunication service provider, including transoceanic
telecommunications. Include network access and Internet
backbone services, charges such as interconnection and
settlement charges for the termination of domestic or
international calls, charges to long distance carriers for
calls originating at a payphone or within another carrier's
local network, charges for jointly used facilities such as pole
attachments, and charges for the exclusive rights of circuits . . .
CONTINUE WITH

6015

6016

6281

6017

$ Bil.

Mil.

2018
Thou.

Dol.

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51710A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

51711042

Other Telecommunications Services - Continued
b. Private network services - Providing a wired or wireless
telecommunication link(s) between specified points for the
exclusive use of the client. Include packet switching services.
Exclude provision of private links to telecommunication service
providers as classified in line 2a . . . . . . . . . . . . . . . . . . . .
c. Subscriber line charges - Fees received from end users and
paid directly to local telephone companies. This fee, regulated and
capped by the Federal Communication Commission, covers the
cost of connecting end users' calls to the telephone network . . .
d. Internet access services - Providing a direct connection to
the Internet, both wired and wireless. Include broadband,
narrowband, digital subscriber lines (DSL), dial-up, and always-on
Internet access services . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Internet telephony - Providing a direct connection to the
Internet, wired or wireless, for the transmission of voice or data to
fixed local telephone locations on the public switched telephone
network (PSTN). Include 911 service and a number to mimic a
local fixed telephone number for the purpose of receiving calls
from local fixed telephone users in the same local calling area. A
broadband connection to the Internet is a prerequirement in order
to obtain this service. Include Voice Over Internet Protocol (VOIP)
and related Internet telephony services . . . . . . . . . . . . . . . .
f. Telecommunication network installation services - Installing
wires and other equipment to put a telecommunication network in
place . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. Reselling services for telecommunications equipment,
retail - Retailing of telecommunications equipment such as fixed
or mobile telephones, pagers, mobile radio units, key telephones,
Private Branch Exchanges (PBX), modems, and data terminal
equipment, purchased on own-account for resale . . . . . . . . . .
h. Rental of telecommunications equipment - Renting or leasing
telecommunication equipment such as fixed or mobile telephones,
pagers, mobile radio units, key telephones, PBX, modems, and
data terminal equipment . . . . . . . . . . . . . . . . . . . . . . . . .
i. Repair and maintenance services for telecommunications
equipment - Repair and maintenance of telecommunications
equipment, facilities, and related products on or off a customer's
premises. Include telephones, modems, multi-plexers, earth
stations, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Operating Revenue
a. Basic programming package - Providing subscriber access to
a basic range of programming services generally for a monthly
fee. Include initial connection to network or reconnection to the
network charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Premium programming package - Providing subscriber
programming services in addition to those included in the basic
package for a fee separate from, and in addition to, the basic
monthly fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Pay-per-view - Providing subscribers the ability to view a specific
program (movie or event) from his/her home for a fee separate
from, and in addition to, the monthly fee for basic or discretionary
programming packages . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Air time - Providing television air time to clients for broadcasting
both advertising content and program content, on television
stations and networks and on cable and other subscription
television program systems . . . . . . . . . . . . . . . . . . . . . . .
e. Rental and reselling services for program distribution
equipment - Renting and retailing equipment necessary to
receive programming packages via a program distribution
network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Installation services for connections to program
distribution networks - Installing cable on the customer
premises and/or installing outlets to connect to the program
distribution network . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6018

6282

6019

6020

6021

6022

6023

6024

6321

6322

6323

6012

6324

6325

ON PAGE 5
CONTINUE ON PAGE 5

Form SA-51710A
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Other Operating Revenue - Continued
g. Website hosting services - Providing the infrastructure to host a
customer's website and related files . . . . . . . . . . . . . . . . . .
h. All other operating revenue - Revenue not reported in lines
1a through 3g. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6031

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 3h
. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51711059

9 and 10 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51710A

Page 6

(DRAFT)

11 CLASS OF CUSTOMER
Total Revenue
A. What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018?

2018
Percent

was received from the

1. Household consumers and individual users . . . . . . . . . . . . . . . . . . . . . . .
2. Business firms, not-for-profit organizations, and Government (Federal, state, and
local) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1763

1760

1 00%
Fixed Local Telephony
B. What percentage of fixed local telephony revenue reported in
from the following categories?

2018
Percent

, line 1a, was received

6285

6273

1 00%
Fixed Long-distance Telephony
C. What percentage of fixed long-distance telephony revenue reported in
received from the following categories?

2018
Percent

, line 1b, was

6288

6274

1 00%
Subscriber Line Charges
D. What percentage of subscriber line charges revenue reported in
from the following categories?

2018
Percent

, line 2c, was received

6291

6275

1 00%

51711067

12 and 13 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51710A

Page 7

(DRAFT)

51711075

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6025

ON PAGE 8
CONTINUE ON PAGE 8

Form SA-51710A

Page 8

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses - Continued
b. Universal service contributions (USC) and other similar
charges - Payments to state and federal governments to support
universal funds for services for local and independent providers .
c. Program and production costs - Include talent and music
license fees, the value of bartered programming, and all other
costs of programming and production. Exclude capitalized costs
d. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
e. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

6026

6013

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4e . . . . . . . . . . . . . . . . . . . . . . . . .

1900

51711083

15 and 16 Not Applicable.

CONTINUE ON PAGE 9

Form SA-51710A

Page 9

(DRAFT)

51711091

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51710E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51710010

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51710E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51710028

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51710E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51710036

6015

6016

6281

6017

$ Bil.

Mil.

2018
Thou.

Dol.

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51710E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

51710044

$ Bil.

Mil.

2018
Thou.

Dol.

6018

6282

6019

6020

6021

6022

6023

6024

6321

6322

6323

6012

6324

6325

ON PAGE 5
CONTINUE ON PAGE 5

Form SA-51710E
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

6031

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 3h
. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51710051

9 and 10 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51710E

Page 6

(DRAFT)

11 CLASS OF CUSTOMER
Total Revenue
A. What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018?

2018
Percent

was received from the

1763

1760

1 00%
Fixed Local Telephony
B. What percentage of fixed local telephony revenue reported in
from the following categories?

2018
Percent

, line 1a, was received

6285

6273

1 00%
Fixed Long-distance Telephony
C. What percentage of fixed long-distance telephony revenue reported in
received from the following categories?

2018
Percent

, line 1b, was

6288

6274

1 00%
Subscriber Line Charges
D. What percentage of subscriber line charges revenue reported in
from the following categories?

2018
Percent

, line 2c, was received

6291

6275

1 00%

51710069

12 and 13 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51710E

Page 7

(DRAFT)

51710077

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6025

ON PAGE 8
CONTINUE ON PAGE 8

Form SA-51710E

Page 8

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

6026

6013

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4e . . . . . . . . . . . . . . . . . . . . . . . . .

1900

51710085

15 and 16 Not Applicable.

CONTINUE ON PAGE 9

Form SA-51710E

Page 9

(DRAFT)

51710093

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51721A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51723013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51721A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51723021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51721A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report net selling value after discounts and allowances.
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51723039

Mobile Services
a. Messaging (paging) services - Providing mobile radio service
that subscribers primarily use to receive voice, text, or tone
messages with small radio receivers. These devices may or may
not be accessed by the public switched telephone network (PSTN)
b. Mobile telephony - Providing access to the public switched
and/or mobile switching center telephone networks for the
transmission and switching of voice, data, and video within
and between local calling areas, where the call originates from
or terminates into a portable handset. Include value added
services, calling features, transmissions using cellular, Personal
Communications Services (PCS), Enhanced Specialized Mobile
Radio (ESMR), and similar technologies . . . . . . . . . . . . . . . .
c. Mobile long-distance - Providing access to the public switched
and/or mobile switching center telephone networks for the
transmission of switching voice, data, and video, where the call
originates from or transmits into a portable headset. Include
roaming charges, calls using cellular, PCS, and ESMR technology
d. Mobile all distance - Providing access to the public switched
and/or mobile switching center telephone networks for the
transmission of switching voice, data, and video, where the call
originates from or transmits into a portable headset and where
there is no distinction between local and long distance areas.
Include calls using cellular PCS, and ESMR, mobile satellite
telephony, air-to-ground, and ship-to-shore telecommunication
services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6301

6027

6311

6312

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-51721A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Other Telecommunications Services
a. Internet access services - Providing a direct connection to
the Internet, both wired and wireless. Include broadband,
narrowband, digital subscriber lines (DSL), dial-up, and always-on
Internet access services . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Telecommunication network installation services - Installing
wires and other equipment to put a telecommunication network in
place . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Reselling services for telecommunications equipment,
retail - Retailing of telecommunications equipment such as fixed
or mobile telephones, pagers, mobile radio units, key telephones,
Private Branch Exchanges (PBX), modems, and data terminal
equipment, purchased on own-account for resale . . . . . . . . . .
d. Rental of telecommunications equipment - Renting or leasing
telecommunication equipment such as fixed or mobile telephones,
pagers, mobile radio units, key telephones, PBX, modems, and
data terminal equipment . . . . . . . . . . . . . . . . . . . . . . . . .
e. Repair and maintenance services for telecommunications
equipment - Repair and maintenance of telecommunications
equipment, facilities, and related products on or off a customer's
premises. Include telephones, modems, multi-plexers, earth
stations, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1a through 2e. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

6019

6021

6022

6023

6024

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

51723047

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

CONTINUE ON PAGE 5

Form SA-51721A

Page 5

(DRAFT)

9 and 10 Not Applicable.
11 CLASS OF CUSTOMER
What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018 and 2017?
1. Household consumers and individual users

2018
Percent

was received from the

. . . . . . . . . . . . . . . . . . . . . . . .

1763

2. Business firms, not-for-profit organizations, and Government (Federal, state, and local) .

1760

%
%

1 00%
12 and 13 Not Applicable.
14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Mark "X"
if None

51723054

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-51721A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4d. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Access charges - Payment for access to the local loop. Firms
providing cellular phone service, report interconnection fees here.
Include fees for leased facilities access charges paid to foreign
companies for international calls originating in the United States
b. Universal service contributions (USC) and other similar
charges - Payments to state and federal governments to support
universal funds for services for local and independent providers .
c. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
d. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1860

1826

6025

6026

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4d
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51723062

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51721A

Page 7

(DRAFT)

51723070

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51721E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51721017

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51721E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51721025

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51721E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

51721033

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6301

6027

6311

6312

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-51721E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

6019

6021

6022

6023

6024

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

51721041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

CONTINUE ON PAGE 5

Form SA-51721E

Page 5

(DRAFT)

9 and 10 Not Applicable.
11 CLASS OF CUSTOMER
What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018 and 2017?
1. Household consumers and individual users

2018
Percent

was received from the

. . . . . . . . . . . . . . . . . . . . . . . .

1763

2. Business firms, not-for-profit organizations, and Government (Federal, state, and local) .

1760

%
%

51721058

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-51721E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1860

1826

6025

6026

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4d
. . . . . . . . . . . . . . . . . . . . . . . .

1900

51721066

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51721E

Page 7

(DRAFT)

51721074

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51730A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51731016

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51730A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51731024

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51730A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51731032

Fixed local telephony - Providing access to the public switched
telephone network (PSTN) for the transmission and switching
of voice, data, and video within and between local calling areas,
where the call is made from a fixed location. Include basic service
connection fees; revenue from extended areas; local private lines;
public telephone services provided with the basic service area;
and fixed local calling features such as directory assistance, caller
identification, call forwarding, and call waiting . . . . . . . . . . . . . .
Fixed long-distance telephony - Providing outbound or inbound
calls made from a fixed customer location where the call is paid
for by the caller or the recipient and the call transmits beyond the
basic service area. Include international call originating in the United
States, any charges for operator assistance or special billings directly
related to these calls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mobile telephony - Providing access to the public switched and/
or mobile switching center telephone networks for the transmission
and switching of voice, data, and video within and between local
calling areas, where the call originates from or terminates into a
portable handset. Include value added services, calling features,
transmissions using cellular, Personal Communications Services
(PCS), Enhanced Specialized Mobile Radio (ESMR), and similar
technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Carrier services - Providing wired or wireless services to originate,
terminate, or transmit calls for another telecommunication service
provider, including transoceanic telecommunications. Include
network access and Internet backbone services, charges such as
interconnection and settlement charges for the termination of
domestic or international calls, charges to long distance carriers
for calls originating at a payphone or within another carrier's local
network, charges for jointly used facilities such as pole attachments,
and charges for the exclusive rights of circuits . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6015

6016

6027

6017

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51730A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

All other operating revenue - Revenue not reported in lines
1 through 4. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

TOTAL OPERATING REVENUE
Sum of lines 1 though 5 . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 and 10 Not Applicable.
11 CLASS OF CUSTOMER
What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018 and 2017?

51731040

1. Household consumers and individual users

2018
Percent

was received from the

. . . . . . . . . . . . . . . . . . . . . . . .

1763

2. Business firms, not-for-profit organizations, and Government (Federal, state, and local) .

1760

%
+

1 00%
12 and 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51730A

Page 5

(DRAFT)

51731057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6025

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51730A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses - Continued
b. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

51731065

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51730A

Page 7

(DRAFT)

51731073

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51730E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51730018

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51730E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51730026

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51730E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51730034

$ Bil.

Mil.

2018
Thou.

Dol.

6015

6016

6027

6017

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51730E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

All other operating revenue - Revenue not reported in lines
1 through 4. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

TOTAL OPERATING REVENUE
Sum of lines 1 though 5 . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 and 10 Not Applicable.
11 CLASS OF CUSTOMER
What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018 and 2017?

51730042

1. Household consumers and individual users

2018
Percent

was received from the

. . . . . . . . . . . . . . . . . . . . . . . .

1763

2. Business firms, not-for-profit organizations, and Government (Federal, state, and local) .

1760

%
+

1 00%
12 and 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51730E

Page 5

(DRAFT)

51730059

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6025

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51730E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

51730067

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51730E

Page 7

(DRAFT)

51730075

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51740A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51741015

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51740A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51741023

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51740A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51741031

Carrier services - Providing wired or wireless services to originate,
terminate, or transmit calls for another telecommunication service
provider, including transoceanic telecommunications. Include
network access and Internet backbone services, charges such as
interconnection and settlement charges for the termination of
domestic or international calls, charges to long distance carriers
for calls originating at a payphone or within another carrier's local
network, charges for jointly used facilities such as pole attachments,
and charges for the exclusive rights of circuits . . . . . . . . . . . . . .
Private network services - Providing a wired or wireless
telecommunication link(s) between specified points for the exclusive
use of the client. Include packet switching services. Exclude
provision of private links to telecommunication service providers as
classified in line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines 1
and 2. If this item is greater than 20% of the total operating
revenue, specify the primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6017

6018

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51740A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51741049

CONTINUE ON PAGE 5

Form SA-51740A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

51741056

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Access charges - Payment for access to the local loop. Firms
providing cellular phone service, report interconnection fees here.
Include fees for leased facilities access charges paid to foreign
companies for international calls originating in the United States
b. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6025

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51740A

Page 6

(DRAFT)

51741064

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51740E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51740017

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51740E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51740025

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51740E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51740033

$ Bil.

Mil.

2018
Thou.

Dol.

6017

6018

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51740E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51740041

CONTINUE ON PAGE 5

Form SA-51740E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

51740058

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Access charges - Payment for access to the local loop. Firms
providing cellular phone service, report interconnection fees here.
Include fees for leased facilities access charges paid to foreign
companies for international calls originating in the United States
b. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6025

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51740E

Page 6

(DRAFT)

51740066

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51790A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51791010

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51790A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51791028

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51790A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

51791036

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-51790A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51791044

CONTINUE ON PAGE 5

Form SA-51790A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

51791051

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Access charges - Payment for access to the local loop. Firms
providing cellular phone service, report interconnection fees here.
Include fees for leased facilities access charges paid to foreign
companies for international calls originating in the United States
b. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6025

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51790A

Page 6

(DRAFT)

51791069

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51790E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51790012

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51790E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51790020

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51790E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

51790038

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-51790E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51790046

CONTINUE ON PAGE 5

Form SA-51790E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

51790053

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Access charges - Payment for access to the local loop. Firms
providing cellular phone service, report interconnection fees here.
Include fees for leased facilities access charges paid to foreign
companies for international calls originating in the United States
b. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

6025

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51790E

Page 6

(DRAFT)

51790061

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51820A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51830016

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51820A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51830024

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51820A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51830032

Data Processing, Information Technology (IT) Infrastructure
Provisioning, and Hosting Services
a. Data processing, information technology (IT) infrastructure
provisioning, and hosting services - Providing IT services
and labor to host, support, and manage business processes for
others; managing and administering data as an organizational
resource (e.g., data modeling, data mobilization, data mapping/
rationalization, data mining, system architecture); providing leased
software applications from a centralized, hosted, and managed
computing environment; providing the infrastructure to host a
customer's website and related files; providing rack space for
servers or enterprise platforms with connections to the Internet
or other communication networks and routine monitoring of such
servers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Operating Revenue
a. Information technology (IT) design and development
services - Providing technical expertise to design and develop
an IT solution (e.g., custom applications, networks, computer
systems) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Information technology (IT) technical support services Providing technical expertise to solve software, hardware, or
computer system problems for others . . . . . . . . . . . . . . . . .
c. Information technology (IT) technical consulting services
- Providing advice or expert opinion on technical matters related
to the use of information technology (e.g., hardware and software
requirements and procurement, systems integration, and security).
Exclude non IT-related consulting; report in line 2f . . . . . . . . .
d. Information and document transformation services Imaging or other data capture services (e.g., data conversion, data
migration services) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

6364

6032

6035

6005

6365

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51820A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Other Operating Revenue - Continued
e. Software publishing - Developing software for wide distribution,
mass production, or licensing . . . . . . . . . . . . . . . . . . . . . .
f. Resale of computer hardware and software - Retailing of
computer hardware and software . . . . . . . . . . . . . . . . . . . .
g. All other operating revenue - Revenue not reported in lines
1a through 2f. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6036

6006

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 2g
. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51830040

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51820A

Page 5

(DRAFT)

51830057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51820A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51830065

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51820A

Page 7

(DRAFT)

51830073

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51820E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51820017

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51820E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51820025

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51820E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

51820033

$ Bil.

Mil.

2018
Thou.

Dol.

6364

6032

6035

6005

6365

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-51820E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

6036

6006

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 2g
. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51820041

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51820E

Page 5

(DRAFT)

51820058

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51820E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51820066

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51820E

Page 7

(DRAFT)

51820074

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51911A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51921013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51911A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51921021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51911A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

Licensing of rights to use syndicated media content - Granting
permission to others to use media content (e.g., news reports,
articles, features, photography graphics, comic strips, ready-to-air
radio and television programs, websites) . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in line 1. If
this item is greater than 20% of the total operating revenue,
specify the primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6371

1799

1800

Not Applicable.

51921039

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 4

Form SA-51911A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51921047

CONTINUE ON PAGE 5

Form SA-51911A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

51921054

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51911A

Page 6

(DRAFT)

51921062

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51911E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51911014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51911E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51911022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51911E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

6371

1799

1800

Not Applicable.

51911030

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 4

Form SA-51911E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51911048

CONTINUE ON PAGE 5

Form SA-51911E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

51911055

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51911E

Page 6

(DRAFT)

51911063

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51912A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51922011

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51912A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51922029

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51912A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

51922037

INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
CONTINUE ON PAGE 4

Form SA-51912A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

Non-Operating Revenue (Lines 1a through 1d to be completed by
tax-exempt firms only)
a. Contributions, gifts, and grants received
. . . . . . . . . . . .
b. Investment and property income - Include interest and
dividends. Exclude gains (losses) from assets sold . . . . . . . . .
c. Program service - Include revenue from the sale of any
admissions (excluding state, local, or admission taxes); the use of
facilities; the operation of schools, classes, training facilities, and
instructional services; registration fees received in connection with
a meeting or convention; equipment rental services; government
contracts; and other fees received for providing a service . . . . .
d. All other non-operating revenue - Revenue not reported in
lines 1a through 1c. Include capital gains and losses. If this
item is greater than 20% of the total revenue, specify the
primary source of revenue below

1741

1742

1743

1809

TOTAL REVENUE (To be completed by tax-exempt and taxable
firms)
For tax-exempt firms this is the sum of lines 1a through 1d . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

51922045

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51912A

Page 5

(DRAFT)

51922052

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51912A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51922060

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51912A

Page 7

(DRAFT)

51922078

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51912E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51912012

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51912E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51912020

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51912E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

51912038

Form SA-51912E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1741

1742

1743

1809

TOTAL REVENUE (To be completed by tax-exempt and taxable
firms)
For tax-exempt firms this is the sum of lines 1a through 1d . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

51912046

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51912E

Page 5

(DRAFT)

51912053

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51912E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51912061

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51912E

Page 7

(DRAFT)

51912079

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51913A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51923019

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51913A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51923027

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51913A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

2.
3.

51923035

Publishing and broadcasting of content on the InternetPublishing and broadcasting audio, video, text and graphics content
on the Internet. Include Internet content paid for by subscriptions,
pay-per-view, membership fees, fees for downloads, and fees for
other forms for licensed access . . . . . . . . . . . . . . . . . . . . . . .
Online advertising space - Provision of space for electronic
advertising distributed over the Internet (e.g., banner ads, buttons,
text links, interstitials, rich media ads, streaming audio and video ads)
Licensing of rights to use intellectual property - Granting
permission to others to use (e.g., broadcast, publish, reproduce,
record, modify, incorporate, distribute) intellectual property (e.g.,
software, books, films, plays, music, graphics, photography,
inventions, processes, trademarks) for an agreed period of time.
Exclude the outright sale of rights in perpetuity; report these in
line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1 through 3. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

6271

6014

6272

1799

5.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51913A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 and 10 Not Applicable.
11 CLASS OF CUSTOMER
What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018 and 2017?
1. Household consumers and individual users

2018
Percent

was received from the

. . . . . . . . . . . . . . . . . . . . . . . .

1763

2. Business firms, not-for-profit organizations, and Government (Federal, state, and local) .

1760

%
+

1 00%

51923043

12 and 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51913A

Page 5

(DRAFT)

51923050

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51913A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51923068

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51913A

Page 7

(DRAFT)

51923076

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51913E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51913010

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51913E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51913028

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51913E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

2.
3.

51913036

$ Bil.

Mil.

2018
Thou.

Dol.

6271

6014

6272

1799

5.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51913E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 and 10 Not Applicable.
11 CLASS OF CUSTOMER
What percentage of sales, receipts, or revenue reported in
following classes of customers in 2018 and 2017?
1. Household consumers and individual users

2018
Percent

was received from the

. . . . . . . . . . . . . . . . . . . . . . . .

1763

2. Business firms, not-for-profit organizations, and Government (Federal, state, and local) .

1760

%
+

1 00%

51913044

12 and 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-51913E

Page 5

(DRAFT)

51913051

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-51913E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

51913069

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-51913E

Page 7

(DRAFT)

51913077

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51919A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

51929016

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51919A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

51929024

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51919A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

1.
2.

Information search and retrieval services - Providing a
systematic search for and retrieval of information (e.g., documents,
databases, archived publications) based on established search criteria
Information services - Storing collections of information for
dissemination or other access. Include stock photo services,
telephone based recordings, provision of real time financial market
data, bulletin broadcasting . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines 1
and 2. Include media monitoring and analysis and advertising. If
this item is greater than 20% of the total operating revenue,
specify the primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

6391

6392

1799

51929032

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51919A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51929040

CONTINUE ON PAGE 5

Form SA-51919A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

51929057

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51919A

Page 6

(DRAFT)

51929065

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-51919E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

51919017

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-51919E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

51919025

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-51919E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

1.
2.

$ Bil.

Mil.

2018
Thou.

Dol.

6391

6392

1799

51919033

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-51919E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

51919041

CONTINUE ON PAGE 5

Form SA-51919E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

51919058

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-51919E

Page 6

(DRAFT)

51919066

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

52001013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

52001021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52000A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Amounts received for work subcontracted to others.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Dues and assessments from members and affiliates.
• Income from investments, sales of company-owned real estate (land and building) or other assets (except inventory
held for resale), securities, gifts, loans, contributions, and grants.
• Interest earned from financing leases. Interest earned from sales, rent or lease under capital, finance, or full payout.
Also include interest, dividends, and royalties.
• Net realized gains (losses) within specified area(s) of activity.
• Rents from separately operated departments, concessions, etc., which are leased to others.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Net unrealized gains (losses).
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of separately operated departments, concessions, etc., which are leased to others.
• Revenue from customers for carrying or other credit charges.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
• Revenue from the sale of used equipment.
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

52001039

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-52000A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 13 Not Applicable.
14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Bad debt.
• Impairment.
• Income tax.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).

52001047

Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1821

ON PAGE 5

CONTINUE ON PAGE 5

Form SA-52000A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1822

1823

1860

1826

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52001054

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-52000A

Page 6

(DRAFT)

52001062

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

52000015

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

52000023

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52000E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

2018
Thou.

Dol.

1800

Not Applicable.

52000031

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-52000E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

52000049

$ Bil.

Mil.

2018
Thou.

Dol.

1821

ON PAGE 5

CONTINUE ON PAGE 5

Form SA-52000E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1822

1823

1860

1826

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52000056

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-52000E

Page 6

(DRAFT)

52000064

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52200A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

52210010

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52200A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

52210028

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52200A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52210036

3.
4.
5.

Loan income from consumers - Include interest received,
origination, other fees received, and revenue from sales of loans.
Include secured (e.g., residential mortgages, home equity, vehicle,
other) and unsecured loans
. . . . . . . . . . . . . . . . . . . . . . . .
Loan income from businesses and governments - Include
interest received, origination, other fees received, and revenue from
sales of loans for commercial and industrial mortgages and other.
Include government guaranteed loans, loans secured by accounts
receivables and inventories, and loans to government agencies and
foreign governments
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Credit card income from consumers - Include interest, fees,
processing, insurance, and services . . . . . . . . . . . . . . . . . . . .
Credit card income from businesses and governments Include interest, fees, processing, insurance, and services
. . . . .
All other operating revenue - Revenue not reported in lines
1 through 4. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

2120

2121

2122

2123

$ Bil.

Mil.

2018
Thou.

Dol.

1799

TOTAL OPERATING REVENUE
Sum of lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

CONTINUE ON PAGE 4

Form SA-52200A

Page 4

(DRAFT)

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

52210044

CONTINUE ON PAGE 5

Form SA-52200A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

52210051

b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-52200A

Page 6

(DRAFT)

52210069

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52200E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

52200011

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52200E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

52200029

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52200E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52200037

3.
4.
5.

2120

2121

2122

2123

$ Bil.

Mil.

2018
Thou.

Dol.

1799

TOTAL OPERATING REVENUE
Sum of lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

CONTINUE ON PAGE 4

Form SA-52200E

Page 4

(DRAFT)

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

52200045

CONTINUE ON PAGE 5

Form SA-52200E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

52200052

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-52200E

Page 6

(DRAFT)

52200060

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52311A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

52321015

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52311A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

52321023

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52311A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52321031

Securities origination products - These products assist the issuers
of securities (businesses and governments) in creating their securities
and having them distributed to the investing public. The service may
involve advising the issuer, purchasing the securities and selling
them (underwriting), or acting as an agent in marketing the securities
Brokering and dealing products - debt instruments - Brokering
and dealing in debt instruments (e.g., bills, bonds, notes, CDs,
Guaranteed Investment Contracts (GICs), commercial paper, bankers
acceptances, all other debt instrument products) . . . . . . . . . . . . .
Brokering and dealing products - equities - Brokering and dealing
in equity securities (e.g., common stock, preferred stock, convertible
bonds, warrants, industrial corporations, commercial corporations,
non-financial services corporations, financial corporations, holding
companies, American Depository Receipts, Estate Contribution
Certificates, and all other equity products) . . . . . . . . . . . . . . . . .
Brokering and dealing products - derivative contracts Brokering and dealing derivative contracts (e.g., forward, swap,
option, credit derivative contracts, all other derivative contracts
traded over-the-counter or on exchanges) . . . . . . . . . . . . . . . . .
Brokering and dealing investment company securities Brokering and dealing investment company securities (e.g., mutual
funds, closed-end funds, unit investment trusts) . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

2161

2162

2101

2102

2163

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-52311A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Repurchase agreements - net gains (losses) - The sale of a
security to a counterparty for cash with an agreement to repurchase
it at a fixed price on a specified future date. A reverse repurchase
agreement is from the perspective of the counterparty to a
repurchase agreement, i.e., the purchase of a security from a
counterparty for cash with an agreement to sell it at a fixed price on
a specified future date . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. Trading debt instruments on own account - net gains (losses) Gains made from buying and selling debt securities on own account
8. Trading equities on own account - net gains (losses) - Gains
made from buying and selling equity securities on own account . . .
9. Trading derivative contracts on own account - net gains
(losses) - Gains made from buying and selling derivative contracts
on own account
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Financial Planning and Investment Management Products
a. Financial planning and investment management services
for individuals - Providing financial planning, advisory, and
investment management services for private individuals . . . . . .
b. Financial planning and investment management services
for businesses and governments - Providing financial planning,
advisory, and investment management services for businesses
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
and governments
11. All other operating revenue - Revenue not reported in lines 1
through 10b. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

2164

2165

2166

2103

2104

2124

1799

12. TOTAL OPERATING REVENUE
Sum of lines 1 through 11 . . . . . . . . . . . . . . . . . . . . . . . . .
7

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

52321049

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

CONTINUE ON PAGE 5

Form SA-52311A

Page 5

(DRAFT)

9 – 12 Not Applicable.
13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Bad debt.
• Impairment.
• Income tax.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Mark "X"
if None

52321056

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-52311A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52321064

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52311A

Page 7

(DRAFT)

52321072

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52311E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

52311016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52311E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

52311024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52311E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52311032

$ Bil.

Mil.

2018
Thou.

Dol.

2161

2162

2101

2102

2163

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-52311E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

2164

2165

2166

2103

2104

2124

1799

12. TOTAL OPERATING REVENUE
Sum of lines 1 through 11 . . . . . . . . . . . . . . . . . . . . . . . . .
7

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

52311040

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

CONTINUE ON PAGE 5

Form SA-52311E

Page 5

(DRAFT)

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

52311057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-52311E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52311065

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52311E

Page 7

(DRAFT)

52311073

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52312A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

52322013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52312A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

52322021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52312A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52322039

3.
4.
5.
6.

Brokering and dealing products - derivative contracts Brokering and dealing derivative contracts (e.g., forward, swap,
option, credit derivative contracts, all other derivative contracts
traded over-the-counter or on exchanges) . . . . . . . . . . . . . . . . .
Brokering and dealing products - equities - Brokering and dealing
in equity securities (e.g., common stock, preferred stock, convertible
bonds, warrants, industrial corporations, commercial corporations,
non-financial services corporations, financial corporations, holding
companies, American Depository Receipts, Estate Contribution
Certificates, and all other equity products) . . . . . . . . . . . . . . . . .
Brokering and dealing foreign currency fees - wholesale Brokering and dealing foreign currencies, on a wholesale basis, for a
fee. Exclude retail buying and selling of currencies . . . . . . . . . . .
Brokering and dealing other financial instruments - Brokering
and dealing financial instruments, not elsewhere specified. Include
commodity pools and face-amount certificates . . . . . . . . . . . . . .
Trading derivative contracts on own account - net gains
(losses) - Gains made from buying and selling derivative contracts
on own account
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Trading foreign currency on own account - net gains (losses) Gains made from buying and selling foreign currencies on own
account . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

2102

2101

6401

6402

2103

6403

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-52312A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Management of financial market clearing products - Services
that provide an infrastructure for conducting trades in securities and
commodity contracts, clearing and settlement services for securities,
and commodities contracts and payments. Include services that
allow trade execution to take place on exchanges or over-the-counter
and clearing and settlement services for those trades . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1 through 7. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

6404

1799

TOTAL OPERATING REVENUE
Sum of lines 1 through 8 . . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

52322047

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-52312A

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

52322054

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-52312A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52322062

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52312A

Page 7

(DRAFT)

52322070

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52312E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

52312014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52312E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

52312022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52312E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52312030

3.
4.
5.
6.

$ Bil.

Mil.

2018
Thou.

Dol.

2102

2101

6401

6402

2103

6403

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-52312E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

6404

1799

TOTAL OPERATING REVENUE
Sum of lines 1 through 8 . . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

52312048

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-52312E

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

52312055

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-52312E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4c. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52312063

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52312E

Page 7

(DRAFT)

52312071

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52390A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

52391018

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52390A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

52391026

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52390A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52391034

Financial Planning and Investment Management Products
a. Financial planning and investment management services
for individuals - Providing financial planning, advisory, and
investment management services for private individuals. Report
corresponding services for trust accounts in line 3 . . . . . . . . .
b. Financial planning and investment management services
for businesses and governments - Providing financial planning,
advisory, and investment management services for businesses
and governments
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Brokering and dealing products - equities - Brokering and dealing
in equity securities (e.g., common stock, preferred stock, convertible
bonds, warrants, industrial corporations, commercial corporations,
non-financial services corporations, financial corporations, holding
companies, American Depository Receipts, Estate Contribution
Certificates, and all other equity products) . . . . . . . . . . . . . . . . .
Trust products - Trust products involve one party establishing a
fiduciary relationship with a second party, such that the second party
manages property for the benefit of either the first party or others . .

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

2104

2124

2101

6411

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-52390A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

All other operating revenue - Revenue not reported in lines
1a through 3. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

TOTAL OPERATING REVENUE
Sum of lines 1a through 4 . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 12 Not Applicable.

52391042

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

CONTINUE ON PAGE 5

Form SA-52390A

Page 5

(DRAFT)

52391059

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-52390A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

Other Operating Expenses - Continued
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52391067

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52390A

Page 7

(DRAFT)

52391075

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52390E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

52390010

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52390E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

52390028

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52390E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52390036

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

2104

2124

2101

6411

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-52390E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

All other operating revenue - Revenue not reported in lines
1a through 3. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

TOTAL OPERATING REVENUE
Sum of lines 1a through 4 . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 12 Not Applicable.

52390044

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

CONTINUE ON PAGE 5

Form SA-52390E

Page 5

(DRAFT)

52390051

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-52390E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52390069

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52390E

Page 7

(DRAFT)

52390077

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52400A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

52401015

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52400A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

52401023

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52400A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52401031

Health and medical insurance products - net premiums
earned - Include comprehensive medical service plans, individual
service medical coverage plans (e.g., supplemental Medicare,
CHAMPUS, other), and other health and medical insurance products
All other operating revenue - Revenue not reported in line 1. If
this item is greater than 20% of the total operating revenue,
specify the primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

2180

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-52400A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 12 Not Applicable.
13 BENEFITS PAID (LOSSES)
What were the benefits paid to policyholders (losses) for this firm as defined in
Mark "X"
if None

$ Bil.

B?
Mil.

2018
Thou.

Dol.

2185

52401049

Benefits paid (losses) - Benefits paid to policyholders (losses) for
health insurance and hospital and medical service plans . . . . . . .

CONTINUE ON PAGE 5

Form SA-52400A

Page 5

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Bad debt.
• Impairment.
• Income tax.
• Benefits paid to policyholders (losses).
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Exclude benefits paid to policyholders (losses).
Mark "X"
if None

52401056

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-52400A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude benefits paid to policyholders (losses), report these
in 13 . Exclude purchases of merchandise for resale and nonoperating expenses. If this item is greater than 20% of the
total operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52401064

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52400A

Page 7

(DRAFT)

52401072

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52400E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

52400017

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52400E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

52400025

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52400E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52400033

$ Bil.

Mil.

2018
Thou.

Dol.

2180

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-52400E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 12 Not Applicable.
13 BENEFITS PAID (LOSSES)
What were the benefits paid to policyholders (losses) for this firm as defined in
Mark "X"
if None

$ Bil.

B?
Mil.

2018
Thou.

Dol.

2185

52400041

Benefits paid (losses) - Benefits paid to policyholders (losses) for
health insurance and hospital and medical service plans . . . . . . .

CONTINUE ON PAGE 5

Form SA-52400E

Page 5

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Bad debt.
• Impairment.
• Income tax.
• Benefits paid to policyholders (losses).
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Exclude benefits paid to policyholders (losses).
Mark "X"
if None

52400058

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-52400E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude benefits paid to policyholders (losses), report these
in 13 . Exclude purchases of merchandise for resale and nonoperating expenses. If this item is greater than 20% of the
total operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52400066

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52400E

Page 7

(DRAFT)

52400074

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52410A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

52411014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52410A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

52411022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52410A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52411030

Mark "X"
if None

Life insurance underwriting services - net premiums earned . .

2.
3.

Pensions and annuities underwriting services - fees . . . . . . .
All other operating revenue - Revenue not reported in lines 1
and 2. If this item is greater than 20% of the total operating
revenue, specify the primary source of the revenue below

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

2190

2191

1799

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-52410A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 12 Not Applicable.
13 BENEFITS PAID (LOSSES)
What were the benefits paid to policyholders (losses) for this firm as defined in
Mark "X"
if None

$ Bil.

B?
Mil.

2018
Thou.

Dol.

2195

52411048

Benefits paid (losses) - Benefits paid to policyholders (losses) for
life, pension, and annuity insurance plans . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-52410A

Page 5

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Bad debt.
• Impairment.
• Income tax.
• Benefits paid to policyholders (losses).
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Exclude benefits paid to policyholders (losses).
Mark "X"
if None

52411055

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-52410A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude benefits paid to policyholders (losses), report these
in 13 . Exclude purchases of merchandise for resale and nonoperating expenses. If this item is greater than 20% of the
total operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52411063

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52410A

Page 7

(DRAFT)

52411071

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52410E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

52410016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52410E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

52410024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52410E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

52410032

Mark "X"
if None

Life insurance underwriting services - net premiums earned . .

2.
3.

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

2190

2191

1799

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-52410E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 12 Not Applicable.
13 BENEFITS PAID (LOSSES)
What were the benefits paid to policyholders (losses) for this firm as defined in
Mark "X"
if None

$ Bil.

B?
Mil.

2018
Thou.

Dol.

2195

52410040

Benefits paid (losses) - Benefits paid to policyholders (losses) for
life, pension, and annuity insurance plans . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-52410E

Page 5

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Bad debt.
• Impairment.
• Income tax.
• Benefits paid to policyholders (losses).
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Exclude benefits paid to policyholders (losses).
Mark "X"
if None

52410057

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-52410E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude benefits paid to policyholders (losses), report these
in 13 . Exclude purchases of merchandise for resale and nonoperating expenses. If this item is greater than 20% of the
total operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52410065

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52410E

Page 7

(DRAFT)

52410073

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52412A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

52421013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52412A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

52421021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52412A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

2018
Thou.

Dol.

1800

Not Applicable.

52421039

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-52412A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 12 Not Applicable.
13 DIRECT LOSSES INCURRED
What were the direct losses incurred for this firm as defined in

B?
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

2186

52421047

Direct losses incurred - Direct losses incurred for property and
casualty, title, and other insurance plans (except, life, health, and
medical) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-52412A

Page 5

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Bad debt.
• Impairment.
• Income tax.
• Direct losses incurred.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Exclude direct losses incurred.
Mark "X"
if None

52421054

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-52412A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude direct losses incurred, report these in 13 . Exclude
purchases of merchandise for resale and non-operating expenses.
If this item is greater than 20% of the total operating
expenses, specify the primary source of the expenses
below

$ Bil.

Mil.

2018
Thou.

Dol.

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52421062

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52412A

Page 7

(DRAFT)

52421070

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52412E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

52412012

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52412E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

52412020

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52412E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

2018
Thou.

Dol.

1800

Not Applicable.

52412038

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-52412E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 12 Not Applicable.
13 DIRECT LOSSES INCURRED
What were the direct losses incurred for this firm as defined in

B?
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

2186

52412046

CONTINUE ON PAGE 5

Form SA-52412E

Page 5

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Bad debt.
• Impairment.
• Income tax.
• Direct losses incurred.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Exclude direct losses incurred.
Mark "X"
if None

52412053

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-52412E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude direct losses incurred, report these in 13 . Exclude
purchases of merchandise for resale and non-operating expenses.
If this item is greater than 20% of the total operating
expenses, specify the primary source of the expenses
below

$ Bil.

Mil.

2018
Thou.

Dol.

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52412061

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52412E

Page 7

(DRAFT)

52412079

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52413A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

52431012

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52413A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

52431020

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52413A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

2018
Thou.

Dol.

1800

Not Applicable.

52431038

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-52413A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 12 Not Applicable.
13 DIRECT LOSSES INCURRED
What were the direct losses incurred for this firm as defined in

B?
Mark "X"
if None

Mil.

2018
Thou.

Dol.

2187

52431046

Direct losses incurred - Direct losses incurred for property and
casualty, title, life, health, medical, and other insurance plans . . . .

$ Bil.

CONTINUE ON PAGE 5

Form SA-52413A

Page 5

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Bad debt.
• Impairment.
• Income tax.
• Direct losses incurred.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Exclude direct losses incurred.
Mark "X"
if None

52431053

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-52413A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude direct losses incurred, report these in 13 . Exclude
purchases of merchandise for resale and non-operating expenses.
If this item is greater than 20% of the total operating
expenses, specify the primary source of the expenses
below

$ Bil.

Mil.

2018
Thou.

Dol.

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52431061

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52413A

Page 7

(DRAFT)

52431079

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-52413E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

52413010

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-52413E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

52413028

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-52413E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

2018
Thou.

Dol.

1800

Not Applicable.

52413036

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-52413E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 12 Not Applicable.
13 DIRECT LOSSES INCURRED
What were the direct losses incurred for this firm as defined in

B?
Mark "X"
if None

Mil.

2018
Thou.

Dol.

2187

52413044

Direct losses incurred - Direct losses incurred for property and
casualty, title, life, health, medical, and other insurance plans . . . .

$ Bil.

CONTINUE ON PAGE 5

Form SA-52413E

Page 5

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Bad debt.
• Impairment.
• Income tax.
• Direct losses incurred.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Exclude direct losses incurred.
Mark "X"
if None

52413051

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-52413E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Operating interest expense . . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude direct losses incurred, report these in 13 . Exclude
purchases of merchandise for resale and non-operating expenses.
If this item is greater than 20% of the total operating
expenses, specify the primary source of the expenses
below

$ Bil.

Mil.

2018
Thou.

Dol.

1831

2110

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

52413069

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-52413E

Page 7

(DRAFT)

52413077

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-53000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

53001012

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-53000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

53001020

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-53000A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

53001038

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-53000A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

53001046

CONTINUE ON PAGE 5

Form SA-53000A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

53001053

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-53000A

Page 6

(DRAFT)

53001061

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-53000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

53000014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-53000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

53000022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-53000E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

53000030

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-53000E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

53000048

CONTINUE ON PAGE 5

Form SA-53000E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

53000055

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-53000E

Page 6

(DRAFT)

53000063

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-53110A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

53111019

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-53110A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

53111027

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-53110A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

53111035

Home, apartment, rooming house, and other residential space
rental and leasing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2170

Rental and leasing of land for nonresidential use

2171

Rental and leasing of office and professional space

Rental and leasing of commercial space

Rental and leasing of industrial and manufacturing space

6.
7.

Rental of mini-warehouses and self-storage units space
. . . .
All other operating revenue - Revenue not reported in lines
1 through 6. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

TOTAL OPERATING REVENUE
Sum of lines 1 through 7 . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . .
. . . . . . .

2172

. . . . . . . . . . . . . . .

2173

. . .

$ Bil.

Mil.

2018
Thou.

Dol.

2174

2175

1799

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-53110A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

53111043

CONTINUE ON PAGE 5

Form SA-53110A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

53111050

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-53110A

Page 6

(DRAFT)

53111068

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-53110E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

53110011

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-53110E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

53110029

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-53110E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

53110037

Home, apartment, rooming house, and other residential space
rental and leasing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2170

Rental and leasing of land for nonresidential use

2171

Rental and leasing of office and professional space

Rental and leasing of commercial space

Rental and leasing of industrial and manufacturing space

6.
7.

TOTAL OPERATING REVENUE
Sum of lines 1 through 7 . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . .
. . . . . . .

2172

. . . . . . . . . . . . . . .

2173

. . .

$ Bil.

Mil.

2018
Thou.

Dol.

2174

2175

1799

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-53110E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

53110045

CONTINUE ON PAGE 5

Form SA-53110E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

53110052

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-53110E

Page 6

(DRAFT)

53110060

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-53120A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

53121018

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-53120A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

53121026

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-53120A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

Agent and brokerage services for the sale and rental of
residential real estate - Include real estate auction and relocation
services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Agent and brokerage services for the sale and rental of
nonresidential real estate - Include real estate auction services . .

2150

Residential building property management

. . . . . . . . . . . . .

2153

Nonresidential building property management . . . . . . . . . . .

2154

Real estate appraisal services

2155

6.
7.

Real estate consulting services . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1 through 6. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

53121034

. . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

2151

2156

1799

8.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 7 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-53120A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

53121042

CONTINUE ON PAGE 5

Form SA-53120A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

53121059

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-53120A

Page 6

(DRAFT)

53121067

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-53120E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

53120010

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-53120E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

53120028

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-53120E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

2150

Residential building property management

. . . . . . . . . . . . .

2153

Nonresidential building property management . . . . . . . . . . .

2154

Real estate appraisal services

2155

6.
7.

53120036

. . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

2151

2156

1799

8.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 7 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-53120E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

53120044

CONTINUE ON PAGE 5

Form SA-53120E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

53120051

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-53120E

Page 6

(DRAFT)

53120069

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54001011

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54001029

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54000A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

54001037

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-54000A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

54001045

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 5

Form SA-54000A

Page 5

(DRAFT)

54001052

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54000A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54001060

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54000A

Page 7

(DRAFT)

54001078

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54000013

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54000021

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54000E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

54000039

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-54000E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

54000047

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 5

Form SA-54000E

Page 5

(DRAFT)

54000054

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54000E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54000062

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54000E

Page 7

(DRAFT)

54000070

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54002A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54003017

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54002A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54003025

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54002A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

54003033

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-54002A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54003041

CONTINUE ON PAGE 5

Form SA-54002A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

54003058

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-54002A

Page 6

(DRAFT)

54003066

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54002E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54002019

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54002E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54002027

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54002E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

54002035

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-54002E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54002043

CONTINUE ON PAGE 5

Form SA-54002E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

54002050

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-54002E

Page 6

(DRAFT)

54002068

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54011AT

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54012018

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54011AT
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54012026

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54011AT
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

54012034

Operating Revenue
a. Legal services, civil law - Providing legal advice, representation,
and drafting of documents and related services concerning
civil law. Civil law may include all legal services related to civil
matters, including real estate law; wills, estates and trusts; family
law; business and commercial law; civil negligence law; labor and
employment law; and civil litigation . . . . . . . . . . . . . . . . . .
b. Legal services, criminal law - Providing legal advice,
representation, and drafting of documents and related services
(defense, search for evidence, witnesses, experts, etc.) concerning
criminal law. Criminal law may include all legal services related to
criminal charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3050

3051

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54011AT
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Operating Revenue - Continued
c. Legal research and document services - Providing document
filing and search services, including title, abstract and settlement
services; process server services; and notarization and certification
services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. All other operating revenue - Revenue not reported in lines 1a
through 1c. If this item is greater than 20% of the total operating
revenue, specify the primary source of the revenue here

$ Bil.

Mil.

2018
Thou.

Dol.

3052

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 1d
. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54012042

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54011AT

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54012059

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54011AT

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54012067

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54011AT

Page 7

(DRAFT)

54012075

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54011ATE

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54014014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54011ATE(DRAFT)
1

Page 2

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54014022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54011ATE(DRAFT)
4

Page 3

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

54014030

INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

Non-Operating Revenue
. . . . . . . . . . . .
a. Contributions, gifts, and grants received
b. Investment and property income - Include interest and
dividends. Exclude gains (losses) from assets sold . . . . . . . . .
CONTINUE WITH

1741

1742

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-54011ATE(DRAFT)
6

Page 4

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Non-Operating Revenue - Continued
c. Program service - Include revenue from classes and
instructional services; registration fees received in connection with
a meeting or convention; government contracts; and other fees
received for providing a service . . . . . . . . . . . . . . . . . . . . .
d. All other non-operating revenue - Revenue not reported in
lines 1a through 1c. Include capital gains and losses. If this
item is greater than 20% of the total revenue, specify the
primary source of revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

1743

1809

TOTAL REVENUE
Sum of lines 1a through 1d

. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

NOTE: For tax-exempt firms, please include monetary donations received online as Revenue from Electronic Sources.
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54014048

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54011ATE(DRAFT)

Page 5

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54014055

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54011ATE(DRAFT)

Page 6

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54014063

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54011ATE(DRAFT)

Page 7

54014071

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54011ET

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54011010

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54011ET
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54011028

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54011ET
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

54011036

$ Bil.

Mil.

2018
Thou.

Dol.

3050

3051

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54011ET
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

3052

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 1d
. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54011044

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54011ET

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54011051

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54011ET

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54011069

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54011ET

Page 7

(DRAFT)

54011077

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54011ETE

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54013016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54011ETE (DRAFT)
1

Page 2

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54013024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54011ETE (DRAFT)
4

Page 3

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

54013032

$ Bil.

Mil.

2018
Thou.

Dol.

1741

1742

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-54011ETE (DRAFT)
6

Page 4

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1743

1809

TOTAL REVENUE
Sum of lines 1a through 1d

. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54013040

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54011ETE (DRAFT)

Page 5

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54013057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54011ETE (DRAFT)

Page 6

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54013065

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54011ETE (DRAFT)

Page 7

54013073

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54131A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54132014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54131A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54132022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54131A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54132030

Residential and Non-Residential Building Projects
a. Single-family residential projects - The design of single-family
residential properties, such as single-family homes and town
homes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Multi-family residential projects (excludes apartment
building projects) - The design of multi-family residential
projects. Exclude apartment buildings, hotels, resorts, and similar
temporary overnight accommodations; and nursing homes and
similar residential health care projects . . . . . . . . . . . . . . . . .
c. Non-residential building projects (includes apartment
building projects) - The design of non-residential building
projects, such as, apartment buildings, offices, retail, restaurants,
hotels, convention centers, health care, entertainment, recreation,
educational, industrial, transportation and other non-residential
facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Services (performed independent of the architecture
projects above)
a. Landscape architectural services - Providing architectural
services relating to the design of the built landscape. Include golf
courses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Interior design services - Providing services relating to the
planning and designing of interior spaces . . . . . . . . . . . . . . .

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3081

3101

3102

3094

3095

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-54131A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

All other operating revenue - Revenue not reported in
lines 1a through 2b. Include historical restoration projects,
architectural advisory services, urban planning services, peer
review services, project site master planning services, construction
management services, facility management, drafting services, training
services, engineering services, sale or licensing of merchandise, and
rental or leasing of equipment. If this item is greater than 20% of
the total operating revenue, specify the primary source of the
revenue here

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54132048

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54131A

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54132055

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54131A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54132063

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54131A

Page 7

(DRAFT)

54132071

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54131E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54131016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54131E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54131024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54131E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54131032

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3081

3101

3102

3094

3095

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-54131E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54131040

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54131E

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54131057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54131E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54131065

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54131E

Page 7

(DRAFT)

54131073

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54133A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54134010

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54133A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54134028

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54133A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54134036

Engineering Services
a. Residential engineering projects (excludes apartment
building projects) - Engineering services related to new and
existing homes, town homes, etc., and mixed-use buildings
that are predominately used for residential housing. Include
residential renovation projects. Exclude engineering services for
apartment building projects . . . . . . . . . . . . . . . . . . . . . . .
b. Commercial, public, and institutional engineering projects
(includes apartment building projects) - Engineering services
related to new and existing commercial, public, and institutional
buildings, including mixed-use buildings that are predominantly
used for commercial, public, or institutional purposes, such
as office buildings, shopping centers, hotels, restaurants,
warehouses, bus and truck terminals, hospitals, schools, churches,
prisons, stadiums, libraries, and museums. Include commercial,
public, and institutional building renovation projects as well as
apartment building projects . . . . . . . . . . . . . . . . . . . . . . .
c. Industrial and manufacturing engineering projects Engineering services related to industrial and manufacturing
plants and processes such as mining and metallurgical facilities,
petroleum and petrochemical plants, (e.g., oil and gas platforms,
refineries, pipelines), microelectrical facilities, textile and clothing
facilities, iron and steel plants, and pharmaceutical facilities . . . .
d. Transportation infrastructure engineering projects Engineering services related to highways, roads, streets, bridges,
tunnels, railways, subways, airports, harbors, canals and locks,
and other transportation infrastructure . . . . . . . . . . . . . . . . .
e. Municipal utility engineering projects - Engineering services
related to municipal utilities, such as water collection, distribution,
treatment, and disposal projects, municipal waste collection and
disposal projects; and natural gas and steam distribution systems
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3126

3127

3113

3114

3115

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54133A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Engineering Services - Continued
f. Power generation and distribution engineering projects Engineering services related to power generating units, power
transmission and distribution lines, and related infrastructure . . .
g. Telecommunications and broadcasting engineering projects
- Engineering services related to systems for the transmission or
distribution of voice, data, and programming, such as wireless
networks, telephone systems, cable television systems, and
systems for the transmissions of television and radio broadcasting
signals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Hazardous waste and industrial waste engineering projects
- Engineering services related to systems for the collection,
treatment, and disposal of hazardous waste and industrial waste;
and systems for the control of pollution . . . . . . . . . . . . . . . .
i. Other engineering projects - All other engineering projects
related to systems, processes, facilities, or products
. . . . . . . .
Other Services (performed independent of the engineering
projects)
a. Construction services - Construction activities. Include
construction management services (planning, direct supervising,
and coordinating construction site workers), design/build projects
(integrated engineering and construction services for a project),
and construction projects (engineering firm solely responsible for
construction) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Engineering advisory and drafting services - Include
engineering advisory services, such as policy analysis, regulatory
studies, audits, forensic investigations, and expert witness
services. Also include any drafting services, such as drawing
detailed layouts, plans, and illustrations of building, structures,
systems, or components from engineering and architectural
specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Surveying and mapping services - Providing surveying and
mapping services of areas above or below the surface of the
earth, such as the creating of view easements or segregating
rights in parcels of land by creating underground utility
easements. Include geophysical surveying and mapping services
All other operating revenue - Revenue not reported in lines
1a through 2c. Include project management services, facility
management services, architectural services, urban planning services,
building inspection services, testing laboratory services, industrial
design services, research and development services, custom software
development services, sale or licensing of merchandise, and rental
or leasing of equipment. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

3116

3117

3118

3119

3121

3125

3123

1799

1800

Not Applicable.

54134044

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-54133A
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

54134051

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 6

Form SA-54133A

Page 6

(DRAFT)

54134069

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-54133A

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54134077

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-54133A

Page 8

(DRAFT)

54134085

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54133E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54133012

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54133E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54133020

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54133E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54133038

$ Bil.

Mil.

2018
Thou.

Dol.

3126

3127

3113

3114

3115

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54133E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

3116

3117

3118

3119

3121

3125

3123

1799

1800

Not Applicable.

54133046

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-54133E
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

54133053

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 6

Form SA-54133E

Page 6

(DRAFT)

54133061

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-54133E

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54133079

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-54133E

Page 8

(DRAFT)

54133087

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54150A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54151014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54150A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54151022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54150A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54151030

Information Technology (IT) Design and Development
a. Custom application design and development - Designing
the structure and/or writing the computer code necessary to
create and/or implement a software application. Include website
design and development, database design and development, and
customization and integration of packaged software. Exclude data
storage, website hosting, data management, application service
provisioning, and business process management; report these in
line 2e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Computer systems design, development, and integration
- Assessing an organization's computer requirements, advising
on hardware and software acquisitions, developing system
specifications, and either putting the new system in place or
providing the client with the necessary specifications to put the
new system in place . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Network design and development - Designing, developing,
and implementing a customer's networks such as intranets,
extranets, and virtual private networks. Include network security
systems design and development. Exclude network management
services, report this in line 2a . . . . . . . . . . . . . . . . . . . . . .
Other Services
a. IT infrastructure and network management - Managing
and monitoring a client's IT infrastructure including hardware,
software, and/or networks. Include network management services
and computer systems management services . . . . . . . . . . . .
b. IT technical support - Providing technical expertise to solve
problems for the client in using software, hardware, or the entire
computer system. Include auditing and assessing computer
operations, data recovery, and disaster recovery . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3131

3132

3133

3134

3135

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54150A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Other Services - Continued
c. IT technical consulting - Providing advice or expert opinion on
technical matters related to the use of information technology.
Exclude service contracts where advice is included with the
design and development of an IT solution. Report these contracts
in the appropriate IT design and development sub-category . . . .
d. IT related training services - Providing training in the use of
computer hardware, software, networks, or other IT-related topics
e. Hosting and IT infrastructure provisioning services Providing IT infrastructure (hardware, software, and networks)
to process data, host applications, and host processes for a
client. Include data storage, website hosting, data management,
application service provisioning, and business process
management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Rental and leasing of computer hardware . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1a through 2f. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

3136

3137

3138

3139

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

54151048

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54150A

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54151055

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54150A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54151063

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54150A

Page 7

(DRAFT)

54151071

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54150E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54150016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54150E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54150024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54150E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54150032

$ Bil.

Mil.

2018
Thou.

Dol.

3131

3132

3133

3134

3135

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54150E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

3136

3137

3138

3139

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

54150040

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54150E

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54150057

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54150E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54150065

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54150E

Page 7

(DRAFT)

54150073

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54160A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54161013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54160A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54161021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54160A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54161039

Management Consulting Services
a. Strategic management consulting, and consulting
combined with implementation - Providing advice, guidance,
and implementation concerning business strategy (e.g.,
e-commerce) and planning, corporate development and
restructuring, and other strategic management consulting services
b. Financial management consulting, and consulting
combined with implementation - Providing advice, guidance,
and implementation concerning management accounting and
controllership, and other financial management consulting
services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Marketing management consulting, and consulting
combined with implementation - Providing advice, guidance,
and implementation concerning projects related to marketing
strategy, market development, and sales management and
development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Human resources management consulting, and consulting
combined with implementation - Providing advice, guidance,
and implementation concerning the development or modification
of human resources strategies, policies, practices, and procedures.
Include consulting on employee pensions and other benefits
. .
e. Operations and supply chain management consulting,
and consulting combined with implementation - Providing
advice, guidance, and implementation concerning integrated
supply chain management, operations management, and logistics
management. Integrated supply chain management includes
inventory management, warehousing, storage, and distribution
services; operations management includes systems and
procedures improvements; and logistics management includes
production planning and control . . . . . . . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3161

3162

3163

3164

3165

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54160A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Management Consulting Services - Continued
f. Actuarial consulting (except for employee pensions and
other benefits) - Providing advice and guidance concerning
actuarial matters such as life insurance. Exclude actuarial
consulting services related to employee pensions and other
benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. IT technical design, consulting, and development services
- Providing advice, expert opinion or testimony on IT-related
matters (e.g., hardware and software requirements and
procurement, systems integration, systems security), and
providing technical expertise to design and/or develop an IT
solution (e.g., custom application, networks, computer systems).
Exclude advice on issues related to business strategy such as ecommerce strategy
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. All other consulting revenue - Revenue from all other services
related to consulting . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines 1a
through 1h. Include revenue from implementation services not
combined with consulting services, rental or leasing of equipment,
and sale or licensing of merchandise. If this item is greater than
20% of the total operating revenue, specify the primary source
of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

3166

3167

3168

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes

54161047

0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54160A

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54161054

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54160A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54161062

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54160A

Page 7

(DRAFT)

54161070

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54160E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54160015

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54160E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54160023

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54160E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54160031

$ Bil.

Mil.

2018
Thou.

Dol.

3161

3162

3163

3164

3165

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54160E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

3166

3167

3168

1799

TOTAL OPERATING REVENUE
Sum of lines 1a through 2 . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes

54160049

0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54160E

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54160056

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54160E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54160064

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54160E

Page 7

(DRAFT)

54160072

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54170AT

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54171012

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54170AT
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54171020

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54170AT
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

54171038

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3215

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-54170AT
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

54171046

Basic and Applied Research - Continued
b. Basic and applied research in engineering and technology
- Report revenue for basic and applied research services focused
on the application of various combinations of mathematical
and scientific principles to goods, services, and processes.
Include engineering fields such as aerospace, aeronautical,
and astronautical; agricultural and forestry; architectural;
biomedical; chemical; civil; computer; electrical, electronics, and
communications; environmental; forest; geometric; manufacturing;
materials; mechanical; metallurgical; mining, mineral, and
petroleum; etc. Exclude biotechnology . . . . . . . . . . . . . . . .
c. Basic and applied research in the biological and biomedical
sciences - Report revenue for basic and applied research
services focused on fields such as clinical sciences, immunology,
neurosciences, pharmacology, public health, etc. Include research
in the biological, medical, health, agricultural, veterinary, and
environmental sciences. Exclude biotechnology . . . . . . . . . . .
d. Basic and applied research in the social sciences and
humanities - Report revenue for all other basic and applied
research services focused on other social sciences and
humanities. Include research fields such as psychology;
anthropology and archaeology; economics; linguistics; political
science; sociology; the arts; history; philosophy and religion;
language and literature; education; management and commerce;
law and justice; communication, journalism, and media; library
science and curatorial studies; and others . . . . . . . . . . . . . . .
Production services for development - Report revenue for the
provision of development services that may result in the creation
of intellectual property. Include services provided in fulfillment
of legal contracts as well as contracts for the creation of original
works that can be implicitly or explicitly protected by copyright and
industrial property laws. The contract specifies the disposition of any
intellectual property arising from the work performed under contract.
Development services are defined as systematic work, drawing
on research findings or other scientific knowledge or practical
experience, for the purpose of creating new or significantly improved
goods, services, systems, methods, or processes . . . . . . . . . . . .
Other Operating Revenue
a. Licensing of right to use intellectual property - Granting
permission, on a fee, royalty, or other basis, to another economic
entity to use intellectual property, owned or controlled by the
lessor, for the lessee's economic benefit. Include licensing
of intellectual property implicitly or explicitly protected by
copyrights, patents, trade secrets, and trademarks; licensing of
rights to use to distribute intellectual property as well as options
agreements that grant a prospective buyer or licensee the right
to inspect intellectual property and assess its market potential
before engaging to buy or license it; both the temporary licensing
of rights and permanent sale of new original works sold with
only partial commercial-use rights. Exclude outright sale of new
original works and all associated intellectual property rights
. . .
b. Original works of intellectual property - New original
intellectual property works produced without contract for sale.
Sale of such works requires relinquishing all attendant intellectual
property rights to the purchaser permanently or as long as
allowed by law. Include new original works for sale that are
implicitly or explicitly protected by copyrights, patents, trade
secrets, and trademarks. Exclude works produced for own
account or under contract for others, products (computers, cars,
phones, books, films, software, etc.) derived from the original
protected entities and sold with conventional end-use licenses,
and new original works sold with only partial commercial-use
rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3203

3216

3206

3207

3208

3209

ON PAGE 5

CONTINUE ON PAGE 5

Form SA-54170AT
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Other Operating Revenue - Continued
c. All other operating revenue - Operating revenue not reported
in lines 1a through 3b. Include sale or licensing of merchandise
and rental or leasing of equipment. If this item is greater than
20% of total operating revenue, specify the primary source
of the revenue here

TOTAL OPERATING REVENUE
Sum of lines 1a through 3c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54171053

9 – 12 Not Applicable.

CONTINUE ON PAGE 6

Form SA-54170AT

Page 6

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54171061

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-54170AT

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54171079

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-54170AT

Page 8

(DRAFT)

54171087

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE

2018 ANNUAL SERVICES REPORT

Economics and Statistics Administration

U.S. CENSUS BUREAU
FORM

SA-54170AE

(02-08-2019)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

S
IC

TN
AT
M
NA

E2
M

ET
RE
ST
TY
CI
E
AT
ST
P
ZI
RD
CO
E
R

EM
_R

K
AR

S
P4
ZI

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54173018

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas/
newsroom/updates/latest-sas.html

GENERAL INSTRUCTIONS
• Any significant change in this firm's operations should be noted in 17 .
• For establishments sold or acquired in 2018, 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.
• Do not combine data for two or more detailed lines.
• Report data on an accrual basis, except for payroll.
$ Bil. PCT Mil.
Thou.
Dol.
Y_
• Figures should be rounded to the nearest dollar.
M
M
DU 1 0 3 0 2 8 0 4 5 6
• If a figure is $1,030,280,456 it should be reported as
Include:
• Data for all Services establishments (excluding data for Retail, Wholesale, Manufacturing, Mining, and
Construction operations) as defined by the survey coverage in 1 B.
• Data for auxiliary facilities primarily engaged in supporting services to those establishment(s) such as warehouses,
garages, central administrative offices, and repair services.
1

A. MAILING ADDRESS
_1

35 name and mailing address the same as shown in the mailing address above?
Is this firm's
00
SA

0035

5_
Yes
03

0
S_

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54170AE
1

Page 2

(02-08-2019)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

1
1_
00
0
S_
SA
_2
Yes
01
00
_
S
SA

0001

No - Specify this firm's business activity
02
00
S_
A
S

0002

Not Applicable.

ORGANIZATIONAL CHANGE
_1

16 experience any acquisitions, sales, mergers, and/or divestitures in 2018?
A. Did this firm
00
SA

0016

6_
Yes
01

0
S_

No - Go to

B. Which of the following organizational changes occurred in 2018?
_1 apply. If more than one organizational change occurred during the reporting period, explain in
Check all that
91
SA

00
S_

S
SA

1_
Sale
09

0091

0
S_

1_
Merger
09

S
SA

Month 8 Day

1_
Acquisition
09

Date of organizational change . . . . . . . . . . . . . .

01
_0
S
SA

0018

17 .

Year

AND
Enter detailed information below

Divestiture

0017

Name of company

EIN
19
00
_
S
SA

(9 digits)

0019

7
01
_0
S
SA

E(Number and street, P.O. Box, etc.)
Address
RE
ST
N_
W
O

54173026

City, town,
village, etc.
Y
CI
N_
W
O

TE Code
AZIP
P
ZI
ST
_
N_
N
W
W
O
O

State

CONTINUE ON PAGE 3

Form SA-54170AE
4

Page 3

(02-08-2019)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at least six
months of data for the 2018 calendar year.
1
6_
2018
What time00period
is covered by the data provided in this report?
S
SA

Beginning Date
Month 7 Day
Year

6_
Calendar
year
00

0006

S
SA

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

0007

00
_0
S
SA

Ending Date
Month 8 Day
Year
0008

TAX STATUS

0
00
S_
A
S

31 or organization operated on a not-for-profit basis?
A. Is this firm
00
S
SA

0031

1_
Yes
03

0
S_

No - Go to

of the income of this firm or organization exempt from Federal income taxes under
B. Was all or part
_1
30 of the Internal Revenue Code?
section 501
00
S
SA

0030

0_
Yes
03

0
S_

SALES, RECEIPTS, OR REVENUE

54173034

What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.

CONTINUE ON PAGE 4

Form SA-54170AE
6

Page 4

(02-08-2019)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

54173042

Basic and Applied Research
a. Basic and applied research in natural and exact sciences,
except biological sciences - Include basic and applied
research in genetic engineering, other biotechnology, and all other
natural and exact sciences, exclude biological sciences. Include
biotechnology fields such as industrial biotechnology, diagnostic
applications, genetic engineering and enzyme technology, genetic
technologies, transformation, site-directed autogenesis, process
biotechnology, transgenesis, and biotechnology not elsewhere
classified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Basic and applied research in engineering and technology
- Report revenue for basic and applied research services focused
on the application of various combinations of mathematical
and scientific principles to goods, services, and processes.
Include engineering fields such as aerospace, aeronautical,
and astronautical; agricultural and forestry; architectural;
biomedical; chemical; civil; computer; electrical, electronics, and
communications; environmental; forest; geometric; manufacturing;
materials; mechanical; metallurgical; mining, mineral, and
petroleum; etc. Exclude biotechnology . . . . . . . . . . . . . . . .
c. Basic and applied research in the biological and biomedical
sciences - Report revenue for basic and applied research
services focused on fields such as clinical sciences, immunology,
neurosciences, pharmacology, public health, etc. Include research
in the biological, medical, health, agricultural, veterinary, and
environmental sciences. Exclude biotechnology . . . . . . . . . . .
d. Basic and applied research in the social sciences and
humanities - Report revenue for all other basic and applied
research services focused on other social sciences and
humanities. Include research fields such as psychology;
anthropology and archaeology; economics; linguistics; political
science; sociology; the arts; history; philosophy and religion;
language and literature; education; management and commerce;
law and justice; communication, journalism, and media; library
science and curatorial studies; and others . . . . . . . . . . . . . . .
Production services for development - Report revenue for the
provision of development services that may result in the creation
of intellectual property. Include services provided in fulfillment
of legal contracts as well as contracts for the creation of original
works that can be implicitly or explicitly protected by copyright and
industrial property laws. The contract specifies the disposition of any
intellectual property arising from the work performed under contract.
Development services are defined as systematic work, drawing
on research findings or other scientific knowledge or practical
experience, for the purpose of creating new or significantly improved
goods, services, systems, methods, or processes . . . . . . . . . . . .
Other Operating Revenue
a. Licensing of right to use intellectual property - Granting
permission, on a fee, royalty, or other basis, to another economic
entity to use intellectual property, owned or controlled by the
lessor, for the lessee's economic benefit. Include licensing
of intellectual property implicitly or explicitly protected by
copyrights, patents, trade secrets, and trademarks; licensing of
rights to use to distribute intellectual property as well as options
agreements that grant a prospective buyer or licensee the right
to inspect intellectual property and assess its market potential
before engaging to buy or license it; both the temporary licensing
of rights and permanent sale of new original works sold with
only partial commercial-use rights. Exclude outright sale of new
. . .
original works and all associated intellectual property rights

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

5
21
_3
NE

3215

5
NO
21
E_
_3
U
E
N
U
VE
EN
RE
EV
_
R
S
S_
SA
SA

3
20
_3
E
N

3203

3216

O
03
_N
32
UE
E_
N
U
E
N
EV
VE
_R
RE
S
_
S
SA
SA
6
21
_3
NE
6
NO
21
E_
_3
U
E
N
U
VE
EN
RE
EV
_
R
S
S_
SA
SA

6
20
_3
E
N

3206

6
NO
20
E_
_3
U
E
N
NU
VE
VE
RE
E
_
R
S
S_
SA
SA

7
20
_3
NE

3207

7
NO
20
E_
_3
U
E
N
U
VE
EN
RE
EV
_
R
S
S_
SA
SA

8
20
_3
E
N

3208

O
08
_N
32
UE
E_
N
U
E
EN
EV
EV
_R
R
S
S_
SA
SA

ON PAGE 5

CONTINUE ON PAGE 5

Form SA-54170AE
6

Page 5

(02-08-2019)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Other Operating Revenue - Continued
b. Original works of intellectual property - New original
intellectual property works produced without contract for sale.
Sale of such works requires relinquishing all attendant intellectual
property rights to the purchaser permanently or as long as
allowed by law. Include new original works for sale that are
implicitly or explicitly protected by copyrights, patents, trade
secrets, and trademarks. Exclude works produced for own
account or under contract for others, products (computers, cars,
phones, books, films, software, etc.) derived from the original
protected entities and sold with conventional end-use licenses,
and new original works sold with only partial commercial-use
rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. All other operating revenue - Operating revenue not reported
in lines 1a through
3b. Include sale or licensing of merchandise
99
and rental or leasing
of equipment. If this item is greater than
17
_
IN operating revenue, specify the primary source
20% of total
RT
W
of the revenue
here
E_
U
EN
EV
R
S_
SA

NU
VE
E
R
S_
SA

2018
Thou.

Dol.

3209

O
09
_N
32
UE
E_
N
U
E
N
EV
VE
_R
RE
S
_
S
SA
SA

9
79
_1
E
N

1799

1741

1742

1809

1800

O
9
79
_N
_1
UE
E
N
U 1
E
EN 74
EV
EV _ 1
_R
R
E
S
S_ ON
SA
41
SA _ N
4217
E
U
17E_
_
N
U
E
NEN
EV
OVE
2
E
74
_R
_N
R
S
E
_
_1
A
U
S
E
S
NA
NU
VE S
VE
RE
E
_
R
S
S_
SA
SA
9
80
_1
NE
9
NO
80
E_
_1
U
E
N
U
VE
EN
0
RE
EV
_
80
R
S
_1
S_
SA
E
A
U
S
EN
EV
R
S_
SA

Not Applicable.

54173059

TOTAL REVENUE
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

9
20
_3
E
N

Non-Operating Revenue
a. Contributions, gifts, and grants received
. . . . . . . . . . . .
b. Investment and property income - Include interest and
dividends. Exclude gains (losses) from assets sold . . . . . . . . .
9
80
c. All other non-operating
revenue - Include philanthropy,
_1
N
I
cafeteria sales,
parking lot receipts, etc. - Specify the primary
RT
W
source ofE_revenue
below

$ Bil.

CONTINUE ON PAGE 6

Form SA-54170AE
8

Page 6

(02-08-2019)

REVENUES FROM ELECTRONIC SOURCES
NOTE: For tax-exempt firms, please include monetary donations received online as Revenue from Electronic Sources.
A. Did this firm1 have any revenues from customers entering orders directly on the firm's websites or
0_
mobile applications
in 2018?
04
S
SA

0040

Yes0_2

S
SA

04
_0

B. Did this firm1 have any revenues from customers entering orders directly on third-party websites or
1_
mobile applications
in 2018?
04
S
SA

0041

Yes1_2

S
SA

04
_0

C. Did this firm1 have any revenues from customers entering orders via any other electronic systems
_
42
(such as private
networks, dedicated lines, etc.) in 2018?
00
S
SA

0042

Yes2_2

S
SA

04
_0

D. Of the total 2018 revenues reported in 6 ,
what was the dollar amount (or percentage)
that was from the revenues identified in
A-C above? Please provide an estimate if
exact figures are not available. . . . . . . . .

$ Bil.
2500

0
50
_2
S
SA

Mil.

2018
Thou.

2018
Percent
1

Dol.

2501

0
25
S_
SA

09
A. Did the revenue
reported in
00
SA

0009

_2
Yes
09
00
_
S
SA

No - Go to

include any revenue from exports?

$ Bil.
2100

2018
Thou.

Dol.

54173067

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

0
10
_2
S
A

Mil.

CONTINUE ON PAGE 7

Form SA-54170AE

Page 7

(02-08-2019)

54173075

$ Bil.

Mil.

2018
Thou.

Dol.

1
82
_1
E
N

1821

O
1
82
_N
_1
ES
S
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA

2
82
_1
E
N

1822

1823

O
22
_N
18
ES
S_
S
E
N
NS 3
PE
PE 82
EX
X
_
_1
E
S
S_ NE
SA
SA NO
23
_
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA
0
86
_1
E
N

1860

1826

O
60
_N
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
6
E
S
82
S_
SA
_1
SA
NE
O
6
82
_N
_1
ES
S
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA
1
83
_1
E
N

1831

O
31
_N
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA

ON PAGE 8
CONTINUE ON PAGE 8

Form SA-54170AE

Page 8

(02-08-2019)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses - Continued
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases
of merchandise for resale and non-operating
79
18 item is greater than 20% of the total
expenses. If this
N_
I
operating expenses,
specify the primary source of the
RT
W
_below
expenses
S
E
NS
PE
X
E
S_
SA

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

9
87
_1
E
N

1879

1900

O
79
_N
18
ES
S_
S
E
N
NS
PE
0
PE
EX
X
90
_
S
_1
_E
S
S
SA
E
SA
NS
PE
X
E
S_
SA

54173083

15 and 16 Not Applicable.

CONTINUE ON PAGE 9

Form SA-54170AE

Page 9

(02-08-2019)

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

54173091

7
02
_0
S
SA

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

NM
NT

LE
IT
CT

Area code
Telephone
E-mail address
EM

L1
AI

Title

A
RE
CA

Number
F
RE
CP

F
UF
CS

Extension

Area code
Fax

XT
CE

X
FA

Website address
E
TN
IN

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54170ET

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54170014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54170ET
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54170022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54170ET
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

54170030

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3215

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-54170ET
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

54170048

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3203

3216

3206

3207

3208

3209

ON PAGE 5

CONTINUE ON PAGE 5

Form SA-54170ET
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

TOTAL OPERATING REVENUE
Sum of lines 1a through 3c . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54170055

9 – 12 Not Applicable.

CONTINUE ON PAGE 6

Form SA-54170ET

Page 6

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

54170063

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-54170ET

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

54170071

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-54170ET

Page 8

(DRAFT)

54170089

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE

2018 ANNUAL SERVICES REPORT

Economics and Statistics Administration

U.S. CENSUS BUREAU
FORM

SA-54170EE

(02-08-2019)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

S
IC

TN
AT
M
NA

E2
M

ET
RE
ST
TY
CI
E
AT
ST
P
ZI
RD
CO
E
R

EM
_R

K
AR

S
P4
ZI

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas/
newsroom/updates/latest-sas.html

54172010

GENERAL INSTRUCTIONS
Throughout this survey, any reference to "this firm" is referring to the EIN that is printed in the mailing address
area or the new EIN that was provided as a response in 2 . Any responses related to "this firm" should only
include data for the EIN referenced.
• Any significant change in this firm's operations should be noted in 17 .
• For establishments sold or acquired in 2018, 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.
• Do not combine data for two or more detailed lines.
• Report data on an accrual basis, except for payroll.
$ Bil. PCT Mil.
Thou.
Dol.
Y_
• Figures should be rounded to the nearest dollar.
M
M
DU 1 0 3 0 2 8 0 4 5 6
• If a figure is $1,030,280,456 it should be reported as
Include:
• Data for all Services establishments (excluding data for Retail, Wholesale, Manufacturing, Mining, and
Construction operations) operating under the EIN printed in the mailing address area.
• Data for auxiliary facilities primarily engaged in supporting services to those establishment(s) such as warehouses,
garages, central administrative offices, and repair services.
1

A. MAILING ADDRESS
_1

35 name and mailing address the same as shown in the mailing address above?
Is this firm's
00
SA

0035

5_
Yes
03

0
S_

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54170EE
1

Page 2

(02-08-2019)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

1
1_
00
0
S_
SA
_2
Yes
01
00
_
S
SA

0001

No - Specify this firm's business activity
02
00
S_
A
S

0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
_1

13
Does this00firm
report payroll under EIN
S
SA

_2
Yes
13

0013

S
SA

0
_0

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (915 digits)
00
S_
SA

0015

Month 8 Day
8
00
S_
A
S

0088

Year

ORGANIZATIONAL CHANGE
_1

16 experience any acquisitions, sales, mergers, and/or divestitures in 2018?
A. Did this firm
00
SA

0016

6_
Yes
01

0
S_

No - Go to

B. Which of the following organizational changes occurred in 2018?
_1 apply. If more than one organizational change occurred during the reporting period, explain in
Check all that
91
00
S_
SA
_2
Acquisition
91
00
_
S
SA
_3
Sale
91
00
_
S
4
SA
1_
Merger
09
0
S_
SA

54172028

0091

Month 8 Day

Date of organizational change . . . . . . . . . . . . . .

1
00
S_
A
S

0018

17 .

Year

AND
Enter detailed information below

Divestiture

0017

Name of company

EIN
19
00
_
S
A
S

T
E(Number
Address
RE
T
S
N_
W
O
T

and street, P.O. Box, etc.)

City, town,
village, etc.
Y
CI
N_
W
O

(9 digits)

0019

7
01
_0
S
SA

TE Code
AZIP
P
ZI
ST
_
N_
N
W
W
O
O

State

CONTINUE ON PAGE 3

Form SA-54170EE
4

Page 3

(02-08-2019)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at least six
months of data for the 2018 calendar year.
1
6_
2018
What time00period
is covered by the data provided in this report?
S
SA

Beginning Date
Month 7 Day
Year

6_
Calendar
year
00

0006

S
SA

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

0007

00
_0
S
SA

Ending Date
Month 8 Day
Year
0008

TAX STATUS

0
00
S_
A
S

31 or organization operated on a not-for-profit basis?
A. Is this firm
00
S
SA

0031

1_
Yes
03

0
S_

No - Go to

of the income of this firm or organization exempt from Federal income taxes under
B. Was all or part
_1
30 of the Internal Revenue Code?
section 501
00
S
SA

0030

0_
Yes
03

0
S_

SALES, RECEIPTS, OR REVENUE

54172036

CONTINUE ON PAGE 4

Form SA-54170EE
6

Page 4

(02-08-2019)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

54172044

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

5
21
_3
NE

3215

5
NO
21
E_
_3
U
E
N
U
VE
EN
RE
EV
_
R
S
S_
SA
SA

3
20
_3
E
N

3203

3216

O
03
_N
32
UE
E_
N
U
E
N
EV
VE
_R
RE
S
_
S
SA
SA
6
21
_3
NE
6
NO
21
E_
_3
U
E
N
U
VE
EN
RE
EV
_
R
S
S_
SA
SA

6
20
_3
E
N

3206

6
NO
20
E_
_3
U
E
N
NU
VE
VE
RE
E
_
R
S
S_
SA
SA

7
20
_3
NE

3207

7
NO
20
E_
_3
U
E
N
U
VE
EN
RE
EV
_
R
S
S_
SA
SA

8
20
_3
E
N

3208

O
08
_N
32
UE
E_
N
U
E
EN
EV
EV
_R
R
S
S_
SA
SA

ON PAGE 5

CONTINUE ON PAGE 5

Form SA-54170EE
6

Page 5

(02-08-2019)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

NU
VE
E
R
S_
SA

2018
Thou.

Dol.

3209

O
09
_N
32
UE
E_
N
U
E
N
EV
VE
_R
RE
S
_
S
SA
SA

9
79
_1
E
N

1799

1741

1742

1809

1800

Not Applicable.

54172051

TOTAL REVENUE
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

9
20
_3
E
N

$ Bil.

CONTINUE ON PAGE 6

Form SA-54170EE
8

Page 6

(02-08-2019)

0040

Yes0_2

S
SA

04
_0

B. Did this firm1 have any revenues from customers entering orders directly on third-party websites or
1_
mobile applications
in 2018?
04
S
SA

0041

Yes1_2

S
SA

04
_0

C. Did this firm1 have any revenues from customers entering orders via any other electronic systems
_
42
(such as private
networks, dedicated lines, etc.) in 2018?
00
S
SA

0042

Yes2_2

S
SA

04
_0

$ Bil.
2500

0
50
_2
S
SA

Mil.

2018
Thou.

2018
Percent
1

Dol.

2501

0
25
S_
SA

09
A. Did the revenue
reported in
00
SA

0009

_2
Yes
09
00
_
S
SA

No - Go to

include any revenue from exports?

$ Bil.
2100

2018
Thou.

Dol.

54172069

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

0
10
_2
S
A

Mil.

CONTINUE ON PAGE 7

Form SA-54170EE

Page 7

(02-08-2019)

54172077

$ Bil.

Mil.

2018
Thou.

Dol.

1
82
_1
E
N

1821

O
1
82
_N
_1
ES
S
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA

2
82
_1
E
N

1822

1823

O
22
_N
18
ES
S_
S
E
N
NS 3
PE
PE 82
EX
X
_
_1
E
S
S_ NE
SA
SA NO
23
_
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA
0
86
_1
E
N

1860

1826

O
60
_N
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
6
E
S
82
S_
SA
_1
SA
NE
O
6
82
_N
_1
ES
S
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA
1
83
_1
E
N

1831

O
31
_N
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA

ON PAGE 8
CONTINUE ON PAGE 8

Form SA-54170EE

Page 8

(02-08-2019)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses - Continued
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases
of merchandise for resale and non-operating
79
18 item is greater than 20% of the total
expenses. If this
N_
I
operating expenses,
specify the primary source of the
RT
W
_below
expenses
S
E
NS
PE
X
E
S_
SA

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

9
87
_1
E
N

1879

1900

O
79
_N
18
ES
S_
S
E
N
NS
PE
0
PE
EX
X
90
_
S
_1
_E
S
S
SA
E
SA
NS
PE
X
E
S_
SA

54172085

15 and 16 Not Applicable.

CONTINUE ON PAGE 9

Form SA-54170EE

Page 9

(02-08-2019)

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

54172093

7
02
_0
S
SA

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

NM
NT

LE
IT
CT

Area code
Telephone
E-mail address
EM

L1
AI

Title

A
RE
CA

Number
F
RE
CP

F
UF
CS

Extension

Area code
Fax

XT
CE

X
FA

Website address
E
TN
IN

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54181A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54281019

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54181A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54281027

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54181A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Commissions, fees, and other operating receipts, not gross billings or gross sales.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

3.
4.

54281035

5.
6.
7.

Integrated advertising services - Providing any combination of
advertising services such as creative and productive services, media
planning, buying, and research, plus marketing services (including
any combination of public relations, market research, and sales
promotion)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Advertising creative services (including graphic design
services) - Creating the basic idea for an advertisement, which
includes drafting the words or copy that will appear in the ad or be
spoken by an actor, designing the layout for a print ad or the filming
sequence of a television commercial . . . . . . . . . . . . . . . . . . .
Media buying - Buying space or time from the media on behalf of
the advertisers or advertising agencies . . . . . . . . . . . . . . . . . .
Sales promotion - Developing plans for specific promotional
activities or campaigns that stimulate consumer purchasing and
improve distribution efficiency for a specific product. Include
providing support services for implementing the campaign, such as
coordinating the logistical and personnel requirements . . . . . . . .
Direct marketing - Developing a strategy to send promotional
messages directly to consumers, rather than via mass media . . . .
Marketing research - Investigating all elements of the marketing
mix, which includes product, place, price, and promotion . . . . . .
Other advertising services - Other services related to advertising,
such as full public relation services, developing ad campaigns that
use interactive media, conducting media verification, preparing
competitive advertising reports, and producing advertisements for
print, radio, or television . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE WITH

3221

3222

3223

3224

3225

3226

3227

$ Bil.

Mil.

2018
Thou.

Dol.

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-54181A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

All other operating revenue - Revenue not reported in lines 1
through 7. Include sale or licensing of merchandise and rental or
leasing of equipment. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

TOTAL OPERATING REVENUE
Sum of lines 1 through 8 . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54281043

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54181A

Page 5

(DRAFT)

54281050

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54181A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54281068

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54181A

Page 7

(DRAFT)

54281076

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54181E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54181011

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54181E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54181029

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54181E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

3.
4.

54181037

5.
6.
7.

CONTINUE WITH

3221

3222

3223

3224

3225

3226

3227

$ Bil.

Mil.

2018
Thou.

Dol.

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-54181E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

TOTAL OPERATING REVENUE
Sum of lines 1 through 8 . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54181045

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54181E

Page 5

(DRAFT)

54181052

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54181E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54181060

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54181E

Page 7

(DRAFT)

54181078

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54182A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54282017

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54182A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54282025

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54182A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54282033

4.
5.

Full public relations services - Developing and implementing a
communications strategy with various target sectors of the public to
influence their attitudes and opinions in the interest of promoting a
person, product, place, or idea. Various sectors of the public include
community groups, constituents, minority groups, employees,
investors, etc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Media relations - Developing and implementing strategies for
communicating with media to help shape public perception, respond
to media inquiries, and providing appropriate information on
behalf of the client. Include providing training to an organization's
spokespersons or to employees in general on communicating
correctly with the media, and developing and disseminating planned
messages through selected media, without payment, to further an
organization's interest, product, service, cause, or event . . . . . . . .
Lobbying - Developing strategies to influence key legislature and
regulatory government officials to support public policy positions
favorable to the client's objectives. This may also be known as
governmental affairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Event management - Developing and implementing a
communication strategy through the use of special events or event
sponsorships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Media monitoring and analysis - Collecting and recording editorial
coverage published in various mass media about the client or its
competition (clipping service) and preparing analysis of the coverage

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3001

3231

3233

3234

3235

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-54182A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

All other operating revenue - Revenue not reported in lines
1 through 5. Include crisis management, sale or licensing of
merchandise, rental or leasing of equipment, and fundraising
development services. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

1799

TOTAL OPERATING REVENUE
Sum of lines 1 through 6 . . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54282041

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54182A

Page 5

(DRAFT)

54282058

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54182A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54282066

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54182A

Page 7

(DRAFT)

54282074

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54182E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54182019

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54182E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54182027

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54182E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54182035

4.
5.

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3001

3231

3233

3234

3235

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-54182E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1799

TOTAL OPERATING REVENUE
Sum of lines 1 through 6 . . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54182043

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54182E

Page 5

(DRAFT)

54182050

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54182E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54182068

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54182E

Page 7

(DRAFT)

54182076

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54186A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54286018

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54186A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54286026

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54186A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54286034

5.
6.
7.

Full direct mail services - Providing all the services of a direct mail
advertising campaign from the concept development through the
actual mailout. Include identifying the target group, developing the
strategy, designing the mailout package, printing and assembling the
package, and mailing the package
. . . . . . . . . . . . . . . . . . . . .
Concept development for a direct mail advertising campaign Developing the plan for a direct mail advertising campaign. Include
identifying the target group, developing the strategy, and designing
the mailout package. The plan is a separate product that may then be
implemented by the same direct mail agency or by a third party . . .
Mail list creation and support services - Creating an electronic list
of names, addresses, and other relevant information of a target group
specified by the client, as an end product or as input to a direct mail
advertising mailout. Include procuring lists, as necessary, from third
parties and/or using lists provided by the client; and/or maintained
by the direct mail advertising agency, and conducting other data
processing operations necessary to create the specified final list . . .
Print services for direct mail advertising materials - Printing
the mailing pieces for a direct mail advertising package, such as
the letters, flyers, brochures, coupons, advertisements, envelopes,
shipping labels, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Letter shop services - Preparing the mailout packages and
delivering them to a mail or other distribution center. Include
folding, addressing and personalizing, inserting, and affixing postage
Fulfillment services - Picking, packaging, and mailing merchandise
ordered through response to a direct mail advertising campaign . . .
Other direct mail advertising services - All other direct mail
advertising services. Include design of the mailing package
materials, proofreading the mailing package materials, selling mailing
lists and databases for direct mail use, and receiving and making
telephone calls related to a direct mail campaign . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3251

3252

3253

3254

3255

3256

3257

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54186A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1799

TOTAL OPERATING REVENUE
Sum of lines 1 through 8 . . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54286042

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54186A

Page 5

(DRAFT)

54286059

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54186A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54286067

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54186A

Page 7

(DRAFT)

54286075

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54186E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54186010

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54186E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54186028

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54186E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54186036

5.
6.
7.

$ Bil.

Mil.

2018
Thou.

Dol.

3251

3252

3253

3254

3255

3256

3257

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54186E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1799

TOTAL OPERATING REVENUE
Sum of lines 1 through 8 . . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

54186044

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54186E

Page 5

(DRAFT)

54186051

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54186E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54186069

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54186E

Page 7

(DRAFT)

54186077

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54210A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

54221015

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54210A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

54221023

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54210A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54221031

Assurance and Related Services - Include financial auditing
services, financial statement review, and other assurance and
financial auditing services . . . . . . . . . . . . . . . . . . . . . . . . . .
Bookkeeping, Compilation, Payroll, and Taxation Services
a. General accounting services - Preparing pre-adjusted trial
balances (clients have own bookkeeper) and periodic financial
statements for clients. Include combinations of bookkeeping,
compilation, and payroll services where payroll services involve
more than payroll calculations . . . . . . . . . . . . . . . . . . . . . .
b. Bookkeeping, compilation, billing, and collection services
- Statements, etc. and collecting payments on behalf of the client.
Include payroll calculation services. Exclude combinations of
bookkeeping, compilation and payroll services, where payroll
services involve more than payroll calculations . . . . . . . . . . .
c. Payroll services - Processing of payroll, withholding deductions,
remitting deductions and employer's contributions to governmentmandated and other plans, and filing reports . . . . . . . . . . . . .
d. Taxation planning and consulting services - Planning and
consulting in order to minimize the impact of taxation, and
interpreting tax law . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Taxation preparation and representation services for
individuals and unincorporated businesses - Preparing,
reviewing, or filing of tax returns or supplementary documents;
and preparing for and representing at tax audits and appeals for
individuals and unincorporated businesses . . . . . . . . . . . . . .
f. Taxation preparation and representation services for
corporate and other clients - Preparing, reviewing, or filing of
tax returns or supplementary documents; and preparing for and
representing at tax audits and appeals for corporate and other
clients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3075

3064

3065

3066

3067

3068

3069

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54210A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Management consulting services - Providing advice, assistance,
and implementation services in the areas of strategic and
organizational planning, finance, human resources, marketing and
production, executive search services, and other management
consulting services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines 1
through 3. Include computerized accounting system services,
insolvency and receivership services, business incorporation services,
business valuation services, litigation support services, accounting
services, training services, legal services, personal financial planning
services, sale or licensing of merchandise, rental or leasing of
equipment, and any other operating revenue not reported above. If
this item is greater than 20% of the total operating revenue,
specify the primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

3071

1799

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

54221049

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54210A

Page 5

(DRAFT)

54221056

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54210A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54221064

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54210A

Page 7

(DRAFT)

54221072

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-54210E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

54210018

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-54210E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

54210026

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-54210E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

54210034

$ Bil.

Mil.

2018
Thou.

Dol.

3075

3064

3065

3066

3067

3068

3069

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-54210E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

3071

1799

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

54210042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-54210E

Page 5

(DRAFT)

54210059

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-54210E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

54210067

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-54210E

Page 7

(DRAFT)

54210075

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

56001019

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

56001027

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56000A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

56001035

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-56000A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56001043

CONTINUE ON PAGE 5

Form SA-56000A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56001050

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56000A

Page 6

(DRAFT)

56001068

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

56000011

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

56000029

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56000E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

56000037

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-56000E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56000045

CONTINUE ON PAGE 5

Form SA-56000E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56000052

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56000E

Page 6

(DRAFT)

56000060

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56130A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

56131014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56130A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

56131022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56130A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

56131030

Temporary staffing services - Supplying personnel for temporary
work assignments where the personnel work under the supervision
of the client, but are on your staffing firm's payroll and this firm is
legally responsible for their actions . . . . . . . . . . . . . . . . . . . . .
Long-term staffing - Supplying personnel for extended work
assignments where the personnel work under the supervision
of the client, but are on your staffing firm's payroll and this firm
is legally responsible for their actions. Exclude revenue from the
services of Professional Employer Organizations . . . . . . . . . . . . .
Temporary staffing-to-permanent placement - Temporary
employees who become permanent staff of the client. The employees
remain on the payroll of this firm until the hiring decision is made.
Include training, counseling, assessment, and resume upgrading . .
All other operating revenue - Revenue not reported in lines
1 through 3. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

3263

3264

3265

1799

5.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56130A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56131048

CONTINUE ON PAGE 5

Form SA-56130A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to other Professional Employer Organizations (PEOs) and
staffing agencies for personnel. Include all charges for payroll,
benefits, and services . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56131055

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56130A

Page 6

(DRAFT)

56131063

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56130E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

56130016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56130E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

56130024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56130E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

56130032

$ Bil.

Mil.

2018
Thou.

Dol.

3263

3264

3265

1799

5.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56130E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56130040

CONTINUE ON PAGE 5

Form SA-56130E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to other Professional Employer Organizations (PEOs) and
staffing agencies for personnel. Include all charges for payroll,
benefits, and services . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56130057

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56130E

Page 6

(DRAFT)

56130065

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56132A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

56133010

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56132A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

56133028

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56132A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

56133036

Executive placement services - Recruiting, selecting and referring
managers, administrators, directors, and other executives . . . . . . .
Executive/retained search services - Providing specialized search
and recruitment services limited to filling highly paid executive,
senior manager, and professional positions, according to client
specifications. May include conducting detailed interviews with the
client organization's management team; developing job profiles;
conducting original research and advertising to locate potential job
candidates; screening possible candidates; preparing, presenting and
discussing a confidential list of highly qualified applicants with the
client; making interview arrangements; negotiating compensation;
and providing post-hire follow-up. The search firm typically provides
two assurances to the client: (1) repeat the search at no extra
charge (out-of-pocket expenses only) should a placed candidate
subsequently fail for reasons attributed to lack of due diligence by
the search firm and (2) not to recruit from the the client firm for a
stated period of time. The client makes the decision as to which
candidate to hire. The search agency's fee is charged whether or
not the candidate is hired. This product is also known as a retained
search . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines 1
and 2. If this item is greater than 20% of the total operating
revenue, specify the primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

3268

3269

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56132A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56133044

CONTINUE ON PAGE 5

Form SA-56132A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56133051

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56132A

Page 6

(DRAFT)

56133069

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56132E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

56132012

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56132E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

56132020

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56132E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

56132038

$ Bil.

Mil.

2018
Thou.

Dol.

3268

3269

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56132E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56132046

CONTINUE ON PAGE 5

Form SA-56132E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56132053

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56132E

Page 6

(DRAFT)

56132061

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56134A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

56135015

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56134A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

56135023

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56134A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

1.
2.
3.

Mil.

2018
Thou.

Dol.

3271

3272

1800

Not Applicable.

56135031

Gross billings/professional service fees - Report the professional
service fee or gross billings for this firm . . . . . . . . . . . . . . . . . .
Direct costs of worksite employees - Report salaries, wages,
employment-related taxes, benefit premiums, and worker's
compensation insurance costs for PEO worksite employees . . . . . .
NET REVENUE
Difference between lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

CONTINUE ON PAGE 4

Form SA-56134A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

SOURCE OF REVENUE
How much of the gross billings revenue reported in
categories?

, line 1, is received from the following

1. Payroll services, payroll and benefit services, payroll and human resource services Report revenue where your firm assumes responsibility for payroll-related activities (e.g.,
payment of employee wages, maintenance of pay records, filing of government payroll forms,
filing of government accounts, withholding of taxes and depositing of funds into government
accounts, garnishing wages, paying unemployment insurance premiums, administering worker's
compensation); the administration of benefits (e.g., health, retirement, life, dental, supplementary
health, disability); human resource functions (e.g., counseling, personnel document preparation,
employee assessment, training, regulatory compliance, risk management) . . . . . . . . . . . .

3278

2. All other operating revenue - Revenue not reported in line 1. Include revenue from coemployment services where your firm assumes responsibility for payroll-related activities, the
administration of benefits, and human resource functions . . . . . . . . . . . . . . . . . . .

3277

2018
Percent

%
+

1 00%

56135049

10 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-56134A

Page 5

(DRAFT)

56135056

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-56134A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

56135064

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-56134A

Page 7

(DRAFT)

56135072

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56134E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

56134018

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56134E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

56134026

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56134E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

1.
2.
3.

Mil.

2018
Thou.

Dol.

3271

3272

1800

Not Applicable.

56134034

$ Bil.

CONTINUE ON PAGE 4

Form SA-56134E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

SOURCE OF REVENUE
How much of the gross billings revenue reported in
categories?

, line 1, is received from the following

3278

3277

2018
Percent

%
+

1 00%

56134042

10 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-56134E

Page 5

(DRAFT)

56134059

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-56134E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

56134067

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-56134E

Page 7

(DRAFT)

56134075

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56150A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

56151012

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56150A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

56151020

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56150A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Travel agents, ticket offices/agencies, and reservation systems should include commissions or fees, not gross sales.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

56151038

Reservation Services (Include commissions or fees, not gross
sales)
a. Commissions or fees from airline seats, domestic
destinations - Arranging and reserving airline seats to domestic
destinations. Exclude fees paid directly to your agency by
travelers. These should be included in trip planning, line 2a . . . .
b. Commissions or fees from airline seats, international
destinations - Arranging and reserving airline seats to
international destinations. Exclude fees paid directly to your
agency by travelers. These should be included in trip planning,
line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Commissions or fees from cruises - Arranging and reserving
cruises. Exclude fees paid directly to your agency by travelers.
These should be included in trip planning, line 2a . . . . . . . . . .
d. Commissions or fees from lodging - Arranging and reserving
lodging. Exclude fees paid directly to this agency by travelers.
These should be included in trip planning, line 2a . . . . . . . . . .
e. Commissions or fees from event tickets - Assisting
consumers in acquiring tickets and/or reservations for attendance
at theatrical performances, concerts, sporting events, and
amusement and theme parks. Exclude fees paid directly to this
agency by event attendees. These should be included in trip
planning, line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Commissions or fees from computerized reservation
systems - Subscription fees received for providing access to a
computerized database and reservation system used by travel
professionals and other subscribers to research, compare, and
plan travel itineraries; and to make associated travel, lodging, and
other reservations . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3281

3282

3285

3286

3287

3288

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-56150A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Reservation Services (Include commissions or fees, not gross
sales) - Continued
g. Commissions or fees from packaged tours - Reserving
prepackaged and customized tours. Exclude fees paid directly to
this agency by event attendees. These should be included in trip
planning, line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Commissions or fees from other reservation services Commissions and fees received from all other travel service
providers (e.g., ferry, bus, airport shuttle providers) for arranging
and reserving service. Exclude fees paid directly to this agency
by travelers. These should be included in trip planning, line 2a . .
Other Travel Arrangement Services (Include commissions or
fees, not gross sales)
a. Commissions or fees from trip planning - Assembling travel
information, advising on alternatives, and arranging and reserving
travel services. Include all receipts from travelers for services
rendered on a fee basis such as ticket issuing fees and other fees
paid directly to travel agents by travelers . . . . . . . . . . . . . . .
b. Commissions or fees from automobile clubs and road
and travel service - Providing automobile road assistance
(e.g., emergency road service, trip planning, guidebook and map
supply, discounts for accommodations) to members on a fee basis
c. Commissions or fees from other travel arrangement
services revenue - All other travel services rendered.
Include travel insurance service, travel document service,
travelers check service, foreign exchange services, wire transfer
services, cellular phone service, corporate travel management
software, and emergency travel services
. . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1a through 2c. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

3289

3290

3291

3293

3294

1799

1800

Not Applicable.

56151046

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-56150A
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

SOURCE OF REVENUE
How much of the revenue reported in
1. Business

2501

2018
Percent

, line 4, is received from the following categories?

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3295

2. Leisure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3296

%
%

1 00%
10 – 12 Not Applicable.
13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

56151053

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

CONTINUE ON PAGE 6

Form SA-56150A

Page 6

(DRAFT)

56151061

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-56150A

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

56151079

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-56150A

Page 8

(DRAFT)

56151087

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56150E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

56150014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56150E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

56150022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56150E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

56150030

$ Bil.

Mil.

2018
Thou.

Dol.

3281

3282

3285

3286

3287

3288

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-56150E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

3289

3290

3291

3293

3294

1799

1800

Not Applicable.

56150048

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-56150E
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

SOURCE OF REVENUE
How much of the revenue reported in
1. Business

2501

2018
Percent

, line 4, is received from the following categories?

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3295

2. Leisure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3296

%
%

include any revenue from exports?

56150055

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

CONTINUE ON PAGE 6

Form SA-56150E

Page 6

(DRAFT)

56150063

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-56150E

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

56150071

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-56150E

Page 8

(DRAFT)

56150089

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56152A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

56153018

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56152A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

56153026

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56152A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

56153034

Pre-packaged Tours
a. Domestic travel - Arranging, assembling, and marketing tour
packages for domestic travel . . . . . . . . . . . . . . . . . . . . . . .
b. International travel - Arranging, assembling, and marketing tour
packages for international travel
. . . . . . . . . . . . . . . . . . . .
Customized Group Tours
a. Domestic travel - Assembling, organizing, and reserving
customized domestic tour packages for groups of people with
a common interest (e.g., sports, culture, adventure, religion,
education, conferences, conventions)
. . . . . . . . . . . . . . . . .
b. International travel - Assembling, organizing, and reserving
customized international tour packages for groups of people
with a common interest (e.g., sports, culture, adventure, religion,
education, conferences, conventions)
. . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1a through 2b. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

3301

3302

3303

3304

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56152A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

SOURCE OF REVENUE
How much of the revenue reported in
1. Business

2501

2018
Percent

, line 4, is received from the following categories?

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3306

2. Leisure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3307

%
%

include any revenue from exports?

56153042

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

CONTINUE ON PAGE 5

Form SA-56152A

Page 5

(DRAFT)

56153059

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-56152A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

56153067

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-56152A

Page 7

(DRAFT)

56153075

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56152E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

56152010

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56152E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

56152028

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56152E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

56152036

$ Bil.

Mil.

2018
Thou.

Dol.

3301

3302

3303

3304

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1a through 3 . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56152E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

SOURCE OF REVENUE
How much of the revenue reported in
1. Business

2501

2018
Percent

, line 4, is received from the following categories?

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3306

2. Leisure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3307

%
%

include any revenue from exports?

56152044

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

CONTINUE ON PAGE 5

Form SA-56152E

Page 5

(DRAFT)

56152051

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-56152E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

56152069

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-56152E

Page 7

(DRAFT)

56152077

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56210A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

56211014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56210A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

56211022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56210A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• E-commerce revenue.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

56211030

3.
4.

Residential Nonhazardous Waste and Recyclable Material
Collection Services - Include services provided for the collection
and subcontracted collection of garbage, refuse, rubbish and trash,
commingled materials, and recyclable materials (e.g., cardboard,
paper, plastics, metals, glass, organic waste) from dwellings,
including apartment buildings and condominiums . . . . . . . . . . . .
Non-Residential Nonhazardous Waste and Recyclable Material
Collection Services - Include services provided for the collection
and subcontracted collection of garbage, refuse, rubbish and trash,
commingled materials, and recyclable materials (e.g., cardboard,
paper, plastics, metals, glass, organic waste) from sources such as
heavy and light industry, manufacturing, agriculture, warehousing,
transportation, retail and wholesale commercial activities, restaurants,
offices, educational and recreational facilities, health, and other
service facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hazardous Waste Management Collection Services - Include
hazardous waste collection and hazardous waste transportation
services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1 through 3. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

3401

3402

3403

1799

5.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56210A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56211048

CONTINUE ON PAGE 5

Form SA-56210A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56211055

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56210A

Page 6

(DRAFT)

56211063

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56210E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

56210016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56210E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

56210024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56210E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

56210032

3.
4.

$ Bil.

Mil.

2018
Thou.

Dol.

3401

3402

3403

1799

5.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56210E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56210040

CONTINUE ON PAGE 5

Form SA-56210E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56210057

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56210E

Page 6

(DRAFT)

56210065

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56220A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

56221013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56220A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

56221021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56220A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

56221039

Nonhazardous Waste Disposal Services - Include nonhazardous
waste landfill disposal services, nonhazardous waste incineration
disposal services, and other nonhazardous waste disposal services
such as disposal of nonhazardous waste by methods other than
landfill, sanitary landfill, or incineration (e.g., injection wells,
spreading of municipal sludge on land, disposal maintenance and
closure services) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hazardous Waste Treatment and Disposal Services - Include
hazardous waste treatment of biological infectious waste, radioactive
waste, and other hazardous waste (e.g., organic solvents, oil grease,
inorganic sludges, heavy metal solutions, pesticides, PCB wastes,
and used tires and batteries). Include disposal services of hazardous
waste (e.g., by controlled confinement, landfilling, and other
methods). Include disposal facilities and maintenance and closure
services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines 1
and 2. If this item is greater than 20% of the total operating
revenue, specify the primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

3404

3405

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56220A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56221047

CONTINUE ON PAGE 5

Form SA-56220A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56221054

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56220A

Page 6

(DRAFT)

56221062

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56220E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

56220015

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56220E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

56220023

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56220E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

56220031

$ Bil.

Mil.

2018
Thou.

Dol.

3404

3405

1799

4.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56220E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56220049

CONTINUE ON PAGE 5

Form SA-56220E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56220056

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56220E

Page 6

(DRAFT)

56220064

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56291A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

56292014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56291A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

56292022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56291A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

56292030

Nonhazardous Waste and Recyclable Material Consolidation,
Storage, and Preparation Services - Include nonhazardous
recyclable material recovery preparation services and operations of
nonhazardous waste transfer facilities . . . . . . . . . . . . . . . . . . .
Sale or brokerage of nonhazardous recyclable material
- the sale or brokerage of recyclable material (e.g. cardboard,
paper, plastics, metals, glass, organic waste) recovered from the
nonhazardous waste stream . . . . . . . . . . . . . . . . . . . . . . . . .
Other Waste Management Services - Include septic tank services;
cleaning and maintenance for nonhazardous waste holding and drain
facilities; and portable toilet rental services . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1 through 3. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

$ Bil.

Mil.

2018
Thou.

Dol.

3407

3363

3408

1799

5.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56291A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56292048

CONTINUE ON PAGE 5

Form SA-56291A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56292055

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56291A

Page 6

(DRAFT)

56292063

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-56291E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

56291016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-56291E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

56291024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-56291E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

56291032

$ Bil.

Mil.

2018
Thou.

Dol.

3407

3363

3408

1799

5.
7

TOTAL OPERATING REVENUE
Sum of lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-56291E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

56291040

CONTINUE ON PAGE 5

Form SA-56291E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

56291057

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-56291E

Page 6

(DRAFT)

56291065

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-61000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

61001012

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-61000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

61001020

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-61000A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

61001038

Form SA-61000A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
$ Bil.

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

Mil.

2018
Thou.

Dol.

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.
14 OPERATING EXPENSES

61001046

What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.

CONTINUE ON PAGE 5

Form SA-61000A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

61001053

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-61000A

Page 6

(DRAFT)

61001061

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-61000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

61000014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-61000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

61000022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-61000E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

61000030

Form SA-61000E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
$ Bil.

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

Mil.

2018
Thou.

Dol.

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.
14 OPERATING EXPENSES

61000048

CONTINUE ON PAGE 5

Form SA-61000E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

61000055

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-61000E

Page 6

(DRAFT)

61000063

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

62001011

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

62001029

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62000A
4

Page 3

(DRAFT)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at
least six months of data for the 2018 calendar year or other partial year data included in the 2018 calendar year.
What time period is covered by the data provided in this report?
2018
Beginning Date
Month Day
Year

Calendar year

Fiscal year - Report beginning and ending dates

0006

0007

Month

Partial year - Report beginning and ending dates
5

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

62001037

CONTINUE ON PAGE 4

Form SA-62000A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
Mark "X"
if None

62001045

4106

2. Medicaid - Fee for service only . . . . . . . . . . . . . . . . . . .

4107

3. Workers' compensation . . . . . . . . . . . . . . . . . . . . . .
4. All other government programs - Include programs such
as but not limited to: Children's Health Insurance Program
(CHIP), Department of Defense (DOD), Civilian Health and
Medical Programs of the Department of Veterans Affairs
(CHAMPVA), TRICARE, Substance Abuse and Mental Health
Services Administration (SAMHSA), and Indian Health Services
(IHS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Revenue from health care providers - Include revenue from
hospitals, health practitioners, outpatient care facilities, etc. . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

4108

4109

9129

ON PAGE 5
CONTINUE ON PAGE 5

Form SA-62000A
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

Net Patient Care Revenue - Using net patient revenues, report
your sources of revenue in each of the below categories. Include
the value of total patient care operating receipts collected for the
reporting period. This figure should be reported net of any negotiated
discounts and write-downs for bad debt. Exclude non-patient care
revenue such as grants, subsidies, contributions, philanthropy, and
sales from gift shops, cafeteria and parking lot receipts - Continued
c. Private insurance
1. Private health insurance, including Medicare and
Medicaid managed care plans - Include revenue from
medical plans administered by private insurers, including
employer sponsored, other group plans, Medicare part C
(managed care plans), Medicaid managed care plans, and
Federal, State, and Local government health insurance . . . . .
2. Property and casualty insurance - Include revenue from
auto and homeowners insurance and other accident/liability
insurance. Exclude workers' compensation insurance . . . . .
d. Patient out-of-pocket from patients and their families Include all deductibles and co-insurance from private health
insurance, Medicare, Medicaid, and other public programs paid by
the beneficiary or the family of the beneficiary . . . . . . . . . . . .
e. All other sources of revenue for patient care - Include
all other sources of revenue for patient care not included in
lines 1a1 through 1d - Specify

4111

4112

4171

4103

Non-Patient Care Revenue
a. Contributions, gifts, and grants received
. . . . . . . . . . . .
b. Investment and property income - Include interest and
dividends. Exclude gains (losses) from assets sold . . . . . . . . .
c. Revenue from health care providers for non-patient care Include revenue from health practitioners, hospitals, outpatient
care facilities, and all other health care practitioners for nonpatient care services provided. Include revenue for medical
administration and other administrative services, incentive
payments, management fees, medical director fees, etc. . . . . . .
d. All other non-patient care revenue - Include other operating
and non-operating revenue (e.g., gift shop sales, cafeteria sales,
parking lot receipts, florist receipts) - Specify the primary source
of revenue below

1741

1742

4113

4105

1800

Not Applicable.

62001052

TOTAL REVENUE
Sum of lines 1a1 through 2d . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 6

Form SA-62000A
8

Page 6

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

Not Applicable.

10 PATIENT VISITS

2018
Number

What was the total number of patient encounters in 2018, including office based
visits, home based visits, tele-health visits, and visits in other health care settings? . .

4184

11 Not Applicable.
12 ELECTRONIC HEALTH RECORDS
A. Did your firm have expenses for electronic health record systems and related software and services to
install and/or maintain these systems in 2018?
Yes
No - Go to

$ Bil.

B. What were the total expenses for electronic health record systems
in 2018? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2018
Thou.

Dol.

4014

62001060

13 Not Applicable.

CONTINUE ON PAGE 7

Form SA-62000A

Page 7

(DRAFT)

62001078

1821

1822

1823

$ Bil.

Mil.

2018
Thou.

Dol.

4011

1860

1826

ON PAGE 8
CONTINUE ON PAGE 8

Form SA-62000A

Page 8

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Expensed Purchased Services - Continued
b. Professional liability insurance - The cost of professional
liability insurance. Include professional liability insurance
premiums and amounts set aside for self-insurance . . . . . . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

4010

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

62001086

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

CONTINUE ON PAGE 9

Form SA-62000A

Page 9

(DRAFT)

18 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 address

62001094

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

62000013

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

62000021

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62000E
4

Page 3

(DRAFT)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at
least six months of data for the 2018 calendar year or other partial year data included in the 2018 calendar year.
What time period is covered by the data provided in this report?
2018
Beginning Date
Month Day
Year

Calendar year

Fiscal year - Report beginning and ending dates

0006

0007

Month

Partial year - Report beginning and ending dates
5

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

62000039

CONTINUE ON PAGE 4

Form SA-62000E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
Mark "X"
if None

62000047

4106

2. Medicaid - Fee for service only . . . . . . . . . . . . . . . . . . .

4107

$ Bil.

Mil.

2018
Thou.

Dol.

4108

4109

9129

ON PAGE 5
CONTINUE ON PAGE 5

Form SA-62000E
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4111

4112

4171

4103

1741

1742

4113

4105

1800

Not Applicable.

62000054

TOTAL REVENUE
Sum of lines 1a1 through 2d . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 6

Form SA-62000E
8

Page 6

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

Not Applicable.

10 PATIENT VISITS

2018
Number

What was the total number of patient encounters in 2018, including office based
visits, home based visits, tele-health visits, and visits in other health care settings? . .

4184

$ Bil.

B. What were the total expenses for electronic health record systems
in 2018? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2018
Thou.

Dol.

4014

62000062

13 Not Applicable.

CONTINUE ON PAGE 7

Form SA-62000E

Page 7

(DRAFT)

62000070

1821

1822

1823

$ Bil.

Mil.

2018
Thou.

Dol.

4011

1860

1826

ON PAGE 8
CONTINUE ON PAGE 8

Form SA-62000E

Page 8

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4010

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

62000088

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

CONTINUE ON PAGE 9

Form SA-62000E

Page 9

(DRAFT)

18 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 address

62000096

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62150A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

62151014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62150A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

62151022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62150A
4

Page 3

(DRAFT)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at
least six months of data for the 2018 calendar year or other partial year data included in the 2018 calendar year.
What time period is covered by the data provided in this report?
2018
Beginning Date
Month Day
Year

Calendar year

0006

Fiscal year - Report beginning and ending dates

0007

Month

Partial year - Report beginning and ending dates
5

Not Applicable.

SALES, RECEIPTS, OR REVENUE

Ending Date
Day
Year

0008

What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

62151030

4106

2. Medicaid - Fee for service only . . . . . . . . . . . . . . . . . . .

4107

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

4108

4109

9129

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-62150A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4111

4112

4102

4103

1741

1742

4113

4105

1800

Not Applicable.

62151048

TOTAL REVENUE
Sum of lines 1a1 through 2d . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-62150A
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

9 – 11 Not Applicable.
12 ELECTRONIC HEALTH RECORDS
A. Did your firm have expenses for electronic health record systems and related software and services to
install and/or maintain these systems in 2018?
Yes
No - Go to

$ Bil.

B. What were the total expenses for electronic health record systems
in 2018? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2018
Thou.

Dol.

4014

62151055

13 Not Applicable.

CONTINUE ON PAGE 6

Form SA-62150A

Page 6

(DRAFT)

62151063

1821

1822

1823

$ Bil.

Mil.

2018
Thou.

Dol.

4011

1860

1826

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-62150A

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4010

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

62151071

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-62150A

Page 8

(DRAFT)

62151089

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62150E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

62150016

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62150E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

62150024

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62150E
4

Page 3

(DRAFT)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at
least six months of data for the 2018 calendar year or other partial year data included in the 2018 calendar year.
What time period is covered by the data provided in this report?
2018
Beginning Date
Month Day
Year

Calendar year

0006

Fiscal year - Report beginning and ending dates

0007

Month

Partial year - Report beginning and ending dates
5

Not Applicable.

SALES, RECEIPTS, OR REVENUE

Ending Date
Day
Year

0008

62150032

4106

2. Medicaid - Fee for service only . . . . . . . . . . . . . . . . . . .

4107

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

4108

4109

9129

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-62150E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4111

4112

4102

4103

1741

1742

4113

4105

1800

Not Applicable.

62150040

TOTAL REVENUE
Sum of lines 1a1 through 2d . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 5

Form SA-62150E
8

Page 5

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

$ Bil.

B. What were the total expenses for electronic health record systems
in 2018? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2018
Thou.

Dol.

4014

62150057

13 Not Applicable.

CONTINUE ON PAGE 6

Form SA-62150E

Page 6

(DRAFT)

62150065

1821

1822

1823

$ Bil.

Mil.

2018
Thou.

Dol.

4011

1860

1826

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-62150E

Page 7

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4010

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

62150073

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-62150E

Page 8

(DRAFT)

62150081

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62190A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

62193016

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62190A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

62193024

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62190A
4

Page 3

(DRAFT)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at
least six months of data for the 2018 calendar year or other partial year data included in the 2018 calendar year.
What time period is covered by the data provided in this report?
2018
Beginning Date
Month Day
Year

Calendar year

Fiscal year - Report beginning and ending dates

0006

0007

Month

Partial year - Report beginning and ending dates
5

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

62193032

CONTINUE ON PAGE 4

Form SA-62190A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
Mark "X"
if None

62193040

4106

2. Medicaid - Fee for service only . . . . . . . . . . . . . . . . . . .

4107

$ Bil.

Mil.

2018
Thou.

Dol.

4108

4109

9129

ON PAGE 5
CONTINUE ON PAGE 5

Form SA-62190A
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4111

4112

4171

4103

1741

1742

4113

4105

1800

Not Applicable.

62193057

TOTAL REVENUE
Sum of lines 1a1 through 2d . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 6

Form SA-62190A
8

Page 6

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

$ Bil.

B. What were the total expenses for electronic health record systems
in 2018? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2018
Thou.

Dol.

4014

62193065

13 Not Applicable.

CONTINUE ON PAGE 7

Form SA-62190A

Page 7

(DRAFT)

62193073

1821

1822

1823

$ Bil.

Mil.

2018
Thou.

Dol.

4011

1860

1826

ON PAGE 8
CONTINUE ON PAGE 8

Form SA-62190A

Page 8

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4010

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

62193081

15 and 16 Not Applicable.

CONTINUE ON PAGE 9

Form SA-62190A

Page 9

(DRAFT)

62193099

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62190E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

62192018

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62190E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

62192026

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62190E
4

Page 3

(DRAFT)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at
least six months of data for the 2018 calendar year or other partial year data included in the 2018 calendar year.
What time period is covered by the data provided in this report?
2018
Beginning Date
Month Day
Year

Calendar year

Fiscal year - Report beginning and ending dates

0006

0007

Month

Partial year - Report beginning and ending dates
5

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

62192034

CONTINUE ON PAGE 4

Form SA-62190E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
Mark "X"
if None

62192042

4106

2. Medicaid - Fee for service only . . . . . . . . . . . . . . . . . . .

4107

$ Bil.

Mil.

2018
Thou.

Dol.

4108

4109

9129

ON PAGE 5
CONTINUE ON PAGE 5

Form SA-62190E
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4111

4112

4171

4103

1741

1742

4113

4105

1800

Not Applicable.

62192059

TOTAL REVENUE
Sum of lines 1a1 through 2d . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 6

Form SA-62190E
8

Page 6

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

$ Bil.

B. What were the total expenses for electronic health record systems
in 2018? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2018
Thou.

Dol.

4014

62192067

13 Not Applicable.

CONTINUE ON PAGE 7

Form SA-62190E

Page 7

(DRAFT)

62192075

1821

1822

1823

$ Bil.

Mil.

2018
Thou.

Dol.

4011

1860

1826

ON PAGE 8
CONTINUE ON PAGE 8

Form SA-62190E

Page 8

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4010

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

62192083

15 and 16 Not Applicable.

CONTINUE ON PAGE 9

Form SA-62190E

Page 9

(DRAFT)

62192091

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62200A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

62201017

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62200A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

62201025

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62200A
4

Page 3

(DRAFT)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at
least six months of data for the 2018 calendar year or other partial year data included in the 2018 calendar year.
What time period is covered by the data provided in this report?
2018
Beginning Date
Month Day
Year

Calendar year

Fiscal year - Report beginning and ending dates

0006

0007

Month

Partial year - Report beginning and ending dates
5

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

62201033

CONTINUE ON PAGE 4

Form SA-62200A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
Mark "X"
if None

62201041

4106

2. Medicaid - Fee for service only . . . . . . . . . . . . . . . . . . .

4107

$ Bil.

Mil.

2018
Thou.

Dol.

4108

4109

9129

ON PAGE 5
CONTINUE ON PAGE 5

Form SA-62200A
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4111

4112

4171

4103

1741

1742

4113

4105

1800

Not Applicable.

62201058

TOTAL REVENUE
Sum of lines 1a1 through 2d . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 6

Form SA-62200A
8

Page 6

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

62201066

9 and 10 Not Applicable.

CONTINUE ON PAGE 7

Form SA-62200A

Page 7

(DRAFT)

11 INPATIENT/OUTPATIENT ACTIVITY
A. Inpatient days and outpatient visits
Inpatient Days - The unit of measure in which lodging was provided and services rendered to inpatients.
- A patient who is formally admitted and who is discharged or dies on the same day is counted as one patient
day, regardless of the number of hours the patient occupies a hospital bed. For patients switched from
observation to inpatient status, the patient day count should begin on the day the patient was officially admitted
as an inpatient. Do not include nursery days unless they are related to neonatal intermediate or intensive care
units.
Include:
Exclude:
• Inpatient acute and sub-acute days
• Nursery days
• Swing bed days
• Newborn days
• Distinct part unit days
• Skilled nursing facilities days
• Long term care days
• Neonatal days
Outpatient Visits - A visit by a patient who is not lodged in the hospital while receiving medical, dental, or
other services. Each appearance of an outpatient in each unit constitutes one visit regardless of the number of
diagnostic and/or therapeutic treatments that the patient receives. Patients switched from observation to inpatient
status, should be counted as outpatient visits and subsequently as inpatient days.
Include:
• Observation services
• Emergency department visits
• Outpatient surgeries
2018
Number

1. What were this firm's inpatient days in 2018? . . . . . . . . . . . .

4180

2. What were this firm's outpatient visits in 2018?

4181

. . . . . . . . . .

B. Inpatient and outpatient net patient care revenue
How much of the net patient care revenue reported in 6 , lines 1a1 through 1e, was received from the
following categories? If 6 , lines 1a1 through 1e, does not equal your net patient care revenue please adjust
your reported figures in 6 , lines 1a1 through 1e.
2018
Number

1. Inpatient care services

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4192

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4193

2. Outpatient care services

%
%

1 00%
12 ELECTRONIC HEALTH RECORDS
A. Did your firm have expenses for electronic health record systems and related software and services to
install and/or maintain these systems in 2018?

62201074

Yes
No - Go to

$ Bil.

B. What were the total expenses for electronic health record systems
in 2018? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2018
Thou.

Dol.

4014

13 Not Applicable.

CONTINUE ON PAGE 8

Form SA-62200A

Page 8

(DRAFT)

62201082

1821

1822

1823

$ Bil.

Mil.

2018
Thou.

Dol.

4011

1860

1826

ON PAGE 9
CONTINUE ON PAGE 9

Form SA-62200A

Page 9

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4010

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

62201090

15 and 16 Not Applicable.

CONTINUE ON PAGE 10

Form SA-62200A

Page 10

(DRAFT)

62201108

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62200E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

62200019

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62200E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

62200027

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62200E
4

Page 3

(DRAFT)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at
least six months of data for the 2018 calendar year or other partial year data included in the 2018 calendar year.
What time period is covered by the data provided in this report?
2018
Beginning Date
Month Day
Year

Calendar year

Fiscal year - Report beginning and ending dates

0006

0007

Month

Partial year - Report beginning and ending dates
5

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

62200035

CONTINUE ON PAGE 4

Form SA-62200E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
Mark "X"
if None

62200043

4106

2. Medicaid - Fee for service only . . . . . . . . . . . . . . . . . . .

4107

$ Bil.

Mil.

2018
Thou.

Dol.

4108

4109

9129

ON PAGE 5
CONTINUE ON PAGE 5

Form SA-62200E
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4111

4112

4171

4103

1741

1742

4113

4105

1800

Not Applicable.

62200050

TOTAL REVENUE
Sum of lines 1a1 through 2d . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 6

Form SA-62200E
8

Page 6

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

62200068

9 and 10 Not Applicable.

CONTINUE ON PAGE 7

Form SA-62200E

Page 7

(DRAFT)

1. What were this firm's inpatient days in 2018? . . . . . . . . . . . .

4180

2. What were this firm's outpatient visits in 2018?

4181

. . . . . . . . . .

1. Inpatient care services

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4192

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4193

2. Outpatient care services

%
%

1 00%
12 ELECTRONIC HEALTH RECORDS
A. Did your firm have expenses for electronic health record systems and related software and services to
install and/or maintain these systems in 2018?

62200076

Yes
No - Go to

$ Bil.

B. What were the total expenses for electronic health record systems
in 2018? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2018
Thou.

Dol.

4014

13 Not Applicable.

CONTINUE ON PAGE 8

Form SA-62200E

Page 8

(DRAFT)

62200084

1821

1822

1823

$ Bil.

Mil.

2018
Thou.

Dol.

4011

1860

1826

ON PAGE 9
CONTINUE ON PAGE 9

Form SA-62200E

Page 9

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4010

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

62200092

15 and 16 Not Applicable.

CONTINUE ON PAGE 10

Form SA-62200E

Page 10

(DRAFT)

62200100

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62300A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

62303011

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62300A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

62303029

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62300A
4

Page 3

(DRAFT)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at
least six months of data for the 2018 calendar year or other partial year data included in the 2018 calendar year.
What time period is covered by the data provided in this report?
2018
Beginning Date
Month Day
Year

Calendar year

Fiscal year - Report beginning and ending dates

0006

0007

Month

Partial year - Report beginning and ending dates
5

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

62303037

CONTINUE ON PAGE 4

Form SA-62300A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
Mark "X"
if None

62303045

4106

2. Medicaid - Fee for service only . . . . . . . . . . . . . . . . . . .

4107

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

4108

4109

ON PAGE 5

CONTINUE ON PAGE 5

Form SA-62300A
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

Net Patient Care Revenue - Using net patient revenues, report
your sources of revenue in each of the below categories. Include
the value of total patient care operating receipts collected for the
reporting period. This figure should be reported net of any negotiated
discounts and write-downs for bad debt. Exclude non-patient care
revenue such as grants, subsidies, contributions, philanthropy, and
sales from gift shops, cafeteria and parking lot receipts - Continued
b. Private insurance
1. Private health insurance, including Medicare and
Medicaid managed care plans - Include revenue from
medical plans administered by private insurers, including
employer sponsored, other group plans, Medicare part C
(managed care plans), Medicaid managed care plans, and
Federal, State, and Local government health insurance . . . . .
2. Property and casualty insurance - Include revenue from
auto and homeowners insurance and other accident/liability
insurance. Exclude workers' compensation insurance . . . . .
c. Social security benefits - Report direct payment of social
security benefits on behalf of patients . . . . . . . . . . . . . . . . .
d. Patient out-of-pocket from patients and their families Include all deductibles and co-insurance from private health
insurance, Medicare, Medicaid, and other public programs paid by
the beneficiary or the family of the beneficiary . . . . . . . . . . . .
e. All other sources of revenue for patient care - Include
all other sources of revenue for patient care not included in
lines 1a1 through 1d - Specify

4111

4112

4172

4171

4103

Non-Patient Care Revenue
. . . . . . . . . . . .
a. Contributions, gifts, and grants received
b. Investment and property income - Include interest and
dividends. Exclude gains (losses) from assets sold . . . . . . . . .
c. All other non-patient care revenue - Include other operating
and non-operating revenue (e.g., gift shop sales, cafeteria sales,
parking lot receipts, florist receipts) - Specify the primary source
of revenue below

1741

1742

4105

1800

Not Applicable.

62303052

TOTAL REVENUE
Sum of lines 1a1 through 2c . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 6

Form SA-62300A
8

Page 6

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

$ Bil.

B. What were the total expenses for electronic health record systems
in 2018? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2018
Thou.

Dol.

4014

62303060

13 Not Applicable.

CONTINUE ON PAGE 7

Form SA-62300A

Page 7

(DRAFT)

62303078

1821

1822

1823

$ Bil.

Mil.

2018
Thou.

Dol.

4011

1860

1826

ON PAGE 8
CONTINUE ON PAGE 8

Form SA-62300A

Page 8

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4010

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

62303086

15 and 16 Not Applicable.

CONTINUE ON PAGE 9

Form SA-62300A

Page 9

(DRAFT)

62303094

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62300E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

62302013

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62300E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

62302021

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62300E
4

Page 3

(DRAFT)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at
least six months of data for the 2018 calendar year or other partial year data included in the 2018 calendar year.
What time period is covered by the data provided in this report?
2018
Beginning Date
Month Day
Year

Calendar year

Fiscal year - Report beginning and ending dates

0006

0007

Month

Partial year - Report beginning and ending dates
5

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

62302039

CONTINUE ON PAGE 4

Form SA-62300E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
Mark "X"
if None

62302047

4106

2. Medicaid - Fee for service only . . . . . . . . . . . . . . . . . . .

4107

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

4108

4109

ON PAGE 5

CONTINUE ON PAGE 5

Form SA-62300E
6

Page 5

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

Net Patient Care Revenue - Using net patient revenues, report
your sources of revenue in each of the below categories. Include
the value of total patient care operating receipts collected for the
reporting period. This figure should be reported net of any negotiated
discounts and write-downs for bad debt. Exclude non-patient care
revenue such as grants, subsidies, contributions, philanthropy, and
sales from gift shops, cafeteria and parking lot receipts - Continued
b. Private insurance
1. Private health insurance, including Medicare and
Medicaid managed care plans - Include revenue from
medical plans administered by private insurers, including
employer sponsored, other group plans, Medicare part C
(managed care plans), Medicaid managed care plans, and
Federal, State, and Local government health insurance . . . . .
2. Property and casualty insurance - Include revenue from
auto and homeowners insurance and other accident/liability
insurance. Exclude workers' compensation insurance . . . . .
c. Social security benefits - Report direct payment of social
security benefits on behalf of patients . . . . . . . . . . . . . . . . .
d. Patient out-of-pocket from patients and their families Include all deductibles and co-insurance from private health
insurance, Medicare, Medicaid, and other public programs paid by
the beneficiary or the family of the beneficiary . . . . . . . . . . . .
e. All other sources of revenue for patient care - Include
all other sources of revenue for patient care not included in
lines 1a1 through 1d - Specify

4111

4112

4172

4171

4103

1741

1742

4105

1800

Not Applicable.

62302054

TOTAL REVENUE
Sum of lines 1a1 through 2c . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON PAGE 6

Form SA-62300E
8

Page 6

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

$ Bil.

B. What were the total expenses for electronic health record systems
in 2018? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2018
Thou.

Dol.

4014

62302062

13 Not Applicable.

CONTINUE ON PAGE 7

Form SA-62300E

Page 7

(DRAFT)

62302070

1821

1822

1823

$ Bil.

Mil.

2018
Thou.

Dol.

4011

1860

1826

ON PAGE 8
CONTINUE ON PAGE 8

Form SA-62300E

Page 8

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

4010

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

62302088

15 and 16 Not Applicable.

CONTINUE ON PAGE 9

Form SA-62300E

Page 9

(DRAFT)

62302096

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62400AT

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

62410014

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62400AT
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

62410022

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62400AT
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

62410030

1.
7

TOTAL OPERATING REVENUE

. . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-62400AT
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

62410048

CONTINUE ON PAGE 5

Form SA-62400AT

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

62410055

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-62400AT

Page 6

(DRAFT)

62410063

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62400ATE

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

62411012

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62400ATE(DRAFT)
1

Page 2

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

62411020

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62400ATE(DRAFT)
4

Page 3

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

62411038

Non-Operating Revenue (Lines 1a through 1d to be completed by
tax-exempt firms only)
a. Contributions, gifts, and grants received - Include in-kind
(non-cash) contributions such as food items, clothing and other
donations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Investment and property income - Include interest and
dividends. Exclude gains (losses) from assets sold . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1741

1742

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-62400ATE(DRAFT)
6

Page 4

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Non-Operating Revenue (Lines 1a through 1d to be completed by
tax-exempt firms only) - Continued
c. Program service - Include revenue from the sale of any
admissions (excluding state, local, or admission taxes); the use of
facilities; the operation of schools, classes, training facilities, and
instructional services; registration fees received in connection with
a meeting or convention; equipment rental services; government
contracts; and other fees received for providing a service . . . . .
d. All other non-operating revenue - Revenue not reported in
lines 1a through 1c. Include capital gains and losses. If this
item is greater than 20% of the total revenue, specify the
primary source of revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

1743

1809

TOTAL REVENUE
Sum of lines 1a through 1d

. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

62411046

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-62400ATE(DRAFT)

Page 5

62411053

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-62400ATE(DRAFT)

Page 6

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

62411061

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-62400ATE(DRAFT)

Page 7

62411079

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62400ET

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

62400015

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62400ET
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

62400023

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62400ET
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

62400031

1.
7

TOTAL OPERATING REVENUE

. . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-62400ET
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

62400049

CONTINUE ON PAGE 5

Form SA-62400ET

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

62400056

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-62400ET

Page 6

(DRAFT)

62400064

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-62400ETE

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

62401013

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-62400ETE (DRAFT)
1

Page 2

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

62401021

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-62400ETE (DRAFT)
4

Page 3

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

62401039

Non-Operating Revenue
a. Contributions, gifts, and grants received - Include in-kind
(non-cash) contributions such as food items, clothing and other
donations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Investment and property income - Include interest and
dividends. Exclude gains (losses) from assets sold . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1741

1742

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-62400ETE (DRAFT)
6

Page 4

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Non-Operating Revenue - Continued
c. Program service - Include revenue from the sale of any
admissions (excluding state, local, or admission taxes); the use of
facilities; the operation of schools, classes, training facilities, and
instructional services; registration fees received in connection with
a meeting or convention; equipment rental services; government
contracts; and other fees received for providing a service . . . . .
d. All other non-operating revenue - Revenue not reported in
lines 1a through 1c. Include capital gains and losses. If this
item is greater than 20% of the total revenue, specify the
primary source of revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

1743

1809

TOTAL REVENUE
Sum of lines 1a through 1d

. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

62401047

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-62400ETE (DRAFT)

Page 5

62401054

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-62400ETE (DRAFT)

Page 6

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

62401062

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-62400ETE (DRAFT)

Page 7

62401070

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

71001010

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

71001028

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71000A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Report gross receipts for casinos.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Commissions, fees, and revenue from admissions and the use of facilities.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
• Revenue from casino hotels.
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

71001036

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-71000A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

71001044

CONTINUE ON PAGE 5

Form SA-71000A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

71001051

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-71000A

Page 6

(DRAFT)

71001069

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

71000012

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

71000020

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71000E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

2018
Thou.

Dol.

1800

Not Applicable.

71000038

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-71000E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

71000046

CONTINUE ON PAGE 5

Form SA-71000E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

71000053

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-71000E

Page 6

(DRAFT)

71000061

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71002AT

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

71003016

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71002AT
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

71003024

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71002AT
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenue from admissions, use of facilities, instructional services, and equipment rental fees.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).

71003032

1.
7

TOTAL OPERATING REVENUE

. . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-71002AT
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

71003040

CONTINUE ON PAGE 5

Form SA-71002AT

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

71003057

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-71002AT

Page 6

(DRAFT)

71003065

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71002ATE

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

71005011

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71002ATE(DRAFT)
1

Page 2

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

71005029

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71002ATE(DRAFT)
4

Page 3

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenue from admissions, use of facilities, instructional services, and equipment rental fees.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).

71005037

$ Bil.

Mil.

2018
Thou.

Dol.

1741

1742

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-71002ATE(DRAFT)
6

Page 4

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1743

1809

TOTAL REVENUE
Sum of lines 1a through 1d

. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

71005045

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-71002ATE(DRAFT)

Page 5

71005052

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-71002ATE(DRAFT)

Page 6

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

71005060

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-71002ATE(DRAFT)

Page 7

71005078

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71002ET

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

71002018

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71002ET
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

71002026

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71002ET
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenue from admissions, use of facilities, instructional services, and equipment rental fees.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).

71002034

1.
7

TOTAL OPERATING REVENUE

. . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-71002ET
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

71002042

CONTINUE ON PAGE 5

Form SA-71002ET

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

71002059

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-71002ET

Page 6

(DRAFT)

71002067

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71002ETE

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

71004014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71002ETE (DRAFT)
1

Page 2

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

71004022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71002ETE (DRAFT)
4

Page 3

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Revenue from admissions, use of facilities, instructional services, and equipment rental fees.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).

71004030

$ Bil.

Mil.

2018
Thou.

Dol.

1741

1742

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-71002ETE (DRAFT)
6

Page 4

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1743

1809

TOTAL REVENUE
Sum of lines 1a through 1d

. . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

71004048

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-71002ETE (DRAFT)

Page 5

71004055

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-71002ETE (DRAFT)

Page 6

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

71004063

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-71002ETE (DRAFT)

Page 7

71004071

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71110AT

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

71111017

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71110AT
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

71111025

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71110AT
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

71111033

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3002

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-71110AT
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Operating Revenue - Continued
b. All other operating revenue - The sale of food, refreshments,
and alcoholic beverages that are not included in the admissions
price; contract fees from providing entertainment; revenue from
royalties, licensing fees, and residual fees from literary works,
musical recordings and compositions, filmed entertainment,
or other cultural works; and rental fees for the use of facilities.
Exclude rental revenue and commissions from concessions
and coin-operated machines operated by others and sales and
admissions taxes. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

TOTAL OPERATING REVENUE
Sum of lines 1a and 1b . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

71111041

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-71110AT

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

71111058

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-71110AT

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

71111066

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-71110AT

Page 7

(DRAFT)

71111074

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE

2018 ANNUAL SERVICES REPORT

Economics and Statistics Administration

U.S. CENSUS BUREAU
FORM

SA-71110AE

(02-08-2019)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

S
IC

TN
AT
M
NA

E2
M

ET
RE
ST
TY
CI
E
AT
ST
P
ZI
RD
CO
E
R

EM
_R

K
AR

S
P4
ZI

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

71113013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas/
newsroom/updates/latest-sas.html

GENERAL INSTRUCTIONS
• Any significant change in this firm's operations should be noted in 17 .
• For establishments sold or acquired in 2018, 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.
• Do not combine data for two or more detailed lines.
• Report data on an accrual basis, except for payroll.
$ Bil. PCT Mil.
Thou.
Dol.
Y_
• Figures should be rounded to the nearest dollar.
M
M
DU 1 0 3 0 2 8 0 4 5 6
• If a figure is $1,030,280,456 it should be reported as
Include:
• Data for all Services establishments (excluding data for Retail, Wholesale, Manufacturing, Mining, and
Construction operations) as defined by the survey coverage in 1 B.
• Data for auxiliary facilities primarily engaged in supporting services to those establishment(s) such as warehouses,
garages, central administrative offices, and repair services.
1

A. MAILING ADDRESS
_1

35 name and mailing address the same as shown in the mailing address above?
Is this firm's
00
SA

0035

5_
Yes
03

0
S_

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71110AE
1

Page 2

(02-08-2019)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

1
1_
00
0
S_
SA
_2
Yes
01
00
_
S
SA

0001

No - Specify this firm's business activity
02
00
S_
A
S

0002

Not Applicable.

ORGANIZATIONAL CHANGE
_1

16 experience any acquisitions, sales, mergers, and/or divestitures in 2018?
A. Did this firm
00
SA

0016

6_
Yes
01

0
S_

No - Go to

B. Which of the following organizational changes occurred in 2018?
_1 apply. If more than one organizational change occurred during the reporting period, explain in
Check all that
91
SA

00
S_

S
SA

1_
Sale
09

0091

0
S_

1_
Merger
09

S
SA

Month 8 Day

1_
Acquisition
09

Date of organizational change . . . . . . . . . . . . . .

01
_0
S
SA

0018

17 .

Year

AND
Enter detailed information below

Divestiture

0017

Name of company

EIN
19
00
_
S
SA

(9 digits)

0019

7
01
_0
S
SA

E(Number and street, P.O. Box, etc.)
Address
RE
ST
N_
W
O

71113021

City, town,
village, etc.
Y
CI
N_
W
O

TE Code
AZIP
P
ZI
ST
_
N_
N
W
W
O
O

State

CONTINUE ON PAGE 3

Form SA-71110AE
4

Page 3

(02-08-2019)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at least six
months of data for the 2018 calendar year.
1
6_
2018
What time00period
is covered by the data provided in this report?
S
SA

Beginning Date
Month 7 Day
Year

6_
Calendar
year
00

0006

S
SA

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

0007

00
_0
S
SA

Ending Date
Month 8 Day
Year
0008

TAX STATUS

0
00
S_
A
S

31 or organization operated on a not-for-profit basis?
A. Is this firm
00
S
SA

0031

1_
Yes
03

0
S_

No - Go to

of the income of this firm or organization exempt from Federal income taxes under
B. Was all or part
_1
30 of the Internal Revenue Code?
section 501
00
S
SA

0030

0_
Yes
03

0
S_

SALES, RECEIPTS, OR REVENUE

71113039

CONTINUE ON PAGE 4

Form SA-71110AE
6

Page 4

(02-08-2019)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Operating Revenue
a. Admissions revenue (excluding admissions taxes) - Gross
box office receipts from the sale of admissions tickets exclusive of
any state or local admissions taxes (include theater or facilities
owners' share, if any). Include receipts from all home, hall or tour
subscriptions, and other concerts or performances for which paid
attendance may be determined by ticket sales, including minimum
guarantee and percentage arrangements. Dinner theaters should
include all combined admission/dinner receipts on this line . . .
b. All other operating revenue - The sale of food, refreshments,
and alcoholic beverages that are not included in the admissions
price; contract fees from providing entertainment; revenue from
royalties, licensing fees, and residual fees from literary works,
musical recordings and compositions, filmed entertainment,
or other cultural works; and rental fees for the use of facilities.
Exclude rental revenue and commissions from concessions
and coin-operated
machines operated by others and sales and
99
admissions taxes.
If this item is greater than 20% of the
17
_
IN
total operating
revenue, specify the primary source of the
RT
revenue Ebelow
_W
U
EN
EV
R
S_
SA

NU
VE
E
R
S_
SA

2018
Thou.

Dol.

3002

O
2
00
_N
_3
UE
E
N
U
E
EN
EV
EV
_R
R
S
S_
SA
SA

9
79
_1
E
N

1799

1741

1742

O
99
_N
17
UE
E_
N
U
E
N 41
EV
VE 17
_R
RE E_
S
_
S ON
SA
41
SA _ N
4217
E
U
17E_
_
N
U
E
NEN
EV
OVE
2
74
_R
_N
RE
S
E
_
_1
U
S
E
SA
NA
U
VE S
EN
RE
EV
_
R
S
S_
SA
SA
9
80
_1
NE

1809

1800

9
NO
80
E_
_1
U
E
N
U
VE
EN
0
RE
EV
_
80
R
S
_1
S_
SA
E
A
U
S
EN
EV
R
S_
SA

Not Applicable.

71113047

TOTAL REVENUE
Sum of lines 1a through 2c . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2
00
_3
E
N

Non-Operating Revenue
a. Contributions, gifts, and grants received
. . . . . . . . . . . .
b. Investment and property income - Include interest and
dividends. Exclude gains (losses) from assets sold . . . . . . . . .
c. All other non-operating
revenue - Revenue not reported in
9
80If this item is greater than 20% of the total
lines 2a or 2b.
_1
N
I
non-operating
revenue, specify the primary source of
RT
revenue Ebelow
_W

$ Bil.

CONTINUE ON PAGE 5

Form SA-71110AE
8

Page 5

(02-08-2019)

0040

Yes0_2

S
SA

04
_0

B. Did this firm1 have any revenues from customers entering orders directly on third-party websites or
1_
mobile applications
in 2018?
04
S
SA

0041

Yes1_2

S
SA

04
_0

C. Did this firm1 have any revenues from customers entering orders via any other electronic systems
_
42
(such as private
networks, dedicated lines, etc.) in 2018?
00
S
SA

0042

Yes2_2

S
SA

04
_0

$ Bil.
2500

0
50
_2
S
SA

Mil.

2018
Thou.

2018
Percent
1

Dol.

2501

0
25
S_
SA

09
A. Did the revenue
reported in
00
SA

0009

_2
Yes
09
00
_
S
SA

No - Go to

include any revenue from exports?

$ Bil.
2100

2018
Thou.

Dol.

71113054

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

0
10
_2
S
A

Mil.

CONTINUE ON PAGE 6

Form SA-71110AE

Page 6

(02-08-2019)

71113062

$ Bil.

Mil.

2018
Thou.

Dol.

1
82
_1
E
N

1821

O
1
82
_N
_1
ES
S
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA

2
82
_1
E
N

1822

1823

O
22
_N
18
ES
S_
S
E
N
NS 3
PE
PE 82
EX
X
_
_1
E
S
S_ NE
SA
SA NO
23
_
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA
0
86
_1
E
N

1860

1826

O
60
_N
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
6
E
S
82
S_
SA
_1
SA
NE
O
6
82
_N
_1
ES
S
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA
1
83
_1
E
N

1831

O
31
_N
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-71110AE

Page 7

(02-08-2019)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses - Continued
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases
of merchandise for resale and non-operating
79
18 item is greater than 20% of the total
expenses. If this
N_
I
operating expenses,
specify the primary source of the
RT
W
_below
expenses
S
E
NS
PE
X
E
S_
SA

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

9
87
_1
E
N

1879

1900

O
79
_N
18
ES
S_
S
E
N
NS
PE
0
PE
EX
X
90
_
S
_1
_E
S
S
SA
E
SA
NS
PE
X
E
S_
SA

71113070

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-71110AE

Page 8

(02-08-2019)

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

71113088

7
02
_0
S
SA

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

NM
NT

LE
IT
CT

Area code
Telephone
E-mail address
EM

L1
AI

Title

A
RE
CA

Number
F
RE
CP

F
UF
CS

Extension

Area code
Fax

XT
CE

X
FA

Website address
E
TN
IN

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71110ET

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

71110019

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71110ET
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

71110027

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71110ET
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

71110035

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

3002

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-71110ET
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

TOTAL OPERATING REVENUE
Sum of lines 1a and 1b . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

71110043

9 – 12 Not Applicable.

CONTINUE ON PAGE 5

Form SA-71110ET

Page 5

(DRAFT)

13 EXPORT REVENUE
An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

2018
Thou.

Dol.

2100

71110050

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-71110ET

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1823

1860

1826

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

71110068

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-71110ET

Page 7

(DRAFT)

71110076

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE

2018 ANNUAL SERVICES REPORT

Economics and Statistics Administration

U.S. CENSUS BUREAU
FORM

SA-71110EE

(02-08-2019)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

S
IC

TN
AT
M
NA

E2
M

ET
RE
ST
TY
CI
E
AT
ST
P
ZI
RD
CO
E
R

EM
_R

K
AR

S
P4
ZI

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas/
newsroom/updates/latest-sas.html

71112015

GENERAL INSTRUCTIONS
Throughout this survey, any reference to "this firm" is referring to the EIN that is printed in the mailing address
area or the new EIN that was provided as a response in 2 . Any responses related to "this firm" should only
include data for the EIN referenced.
• Any significant change in this firm's operations should be noted in 17 .
• For establishments sold or acquired in 2018, 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.
• Do not combine data for two or more detailed lines.
• Report data on an accrual basis, except for payroll.
$ Bil. PCT Mil.
Thou.
Dol.
Y_
• Figures should be rounded to the nearest dollar.
M
M
DU 1 0 3 0 2 8 0 4 5 6
• If a figure is $1,030,280,456 it should be reported as
Include:
• Data for all Services establishments (excluding data for Retail, Wholesale, Manufacturing, Mining, and
Construction operations) operating under the EIN printed in the mailing address area.
• Data for auxiliary facilities primarily engaged in supporting services to those establishment(s) such as warehouses,
garages, central administrative offices, and repair services.
1

A. MAILING ADDRESS
_1

35 name and mailing address the same as shown in the mailing address above?
Is this firm's
00
SA

0035

5_
Yes
03

0
S_

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71110EE
1

Page 2

(02-08-2019)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

1
1_
00
0
S_
SA
_2
Yes
01
00
_
S
SA

0001

No - Specify this firm's business activity
02
00
S_
A
S

0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
_1

13
Does this00firm
report payroll under EIN
S
SA

_2
Yes
13

0013

S
SA

0
_0

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (915 digits)
00
S_
SA

0015

Month 8 Day
8
00
S_
A
S

0088

Year

ORGANIZATIONAL CHANGE
_1

16 experience any acquisitions, sales, mergers, and/or divestitures in 2018?
A. Did this firm
00
SA

0016

6_
Yes
01

0
S_

No - Go to

71112023

0091

Month 8 Day

Date of organizational change . . . . . . . . . . . . . .

1
00
S_
A
S

0018

17 .

Year

AND
Enter detailed information below

Divestiture

0017

Name of company

EIN
19
00
_
S
A
S

T
E(Number
Address
RE
T
S
N_
W
O
T

and street, P.O. Box, etc.)

City, town,
village, etc.
Y
CI
N_
W
O

(9 digits)

0019

7
01
_0
S
SA

TE Code
AZIP
P
ZI
ST
_
N_
N
W
W
O
O

State

CONTINUE ON PAGE 3

Form SA-71110EE
4

Page 3

(02-08-2019)

REPORTING PERIOD
NOTE: Calendar year data are preferred. If they are unavailable, please report for the fiscal year that includes at least six
months of data for the 2018 calendar year.
1
6_
2018
What time00period
is covered by the data provided in this report?
S
SA

Beginning Date
Month 7 Day
Year

6_
Calendar
year
00

0006

S
SA

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

0007

00
_0
S
SA

Ending Date
Month 8 Day
Year
0008

TAX STATUS

0
00
S_
A
S

31 or organization operated on a not-for-profit basis?
A. Is this firm
00
S
SA

0031

1_
Yes
03

0
S_

No - Go to

of the income of this firm or organization exempt from Federal income taxes under
B. Was all or part
_1
30 of the Internal Revenue Code?
section 501
00
S
SA

0030

0_
Yes
03

0
S_

SALES, RECEIPTS, OR REVENUE

71112031

CONTINUE ON PAGE 4

Form SA-71110EE
6

Page 4

(02-08-2019)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

NU
VE
E
R
S_
SA

2018
Thou.

Dol.

3002

O
2
00
_N
_3
UE
E
N
U
E
EN
EV
EV
_R
R
S
S_
SA
SA

9
79
_1
E
N

1799

1741

1742

O
99
_N
17
UE
E_
N
U
E
N 41
EV
VE 17
_R
RE E_
S
_
S ON
SA
41
SA _ N
4217
E
U
17E_
_
N
U
E
NEN
EV
OVE
2
74
_R
_N
RE
S
E
_
_1
U
S
E
SA
NA
U
VE S
EN
RE
EV
_
R
S
S_
SA
SA
9
80
_1
NE

1809

1800

9
NO
80
E_
_1
U
E
N
U
VE
EN
0
RE
EV
_
80
R
S
_1
S_
SA
E
A
U
S
EN
EV
R
S_
SA

Not Applicable.

71112049

TOTAL REVENUE
Sum of lines 1a through 2c . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

2
00
_3
E
N

Non-Operating Revenue
a. Contributions, gifts, and grants received
. . . . . . . . . . . .
b. Investment and property income - Include interest and
dividends. Exclude gains (losses) from assets sold . . . . . . . . .
c. All other non-operating
revenue - Revenue not reported in
9
80If this item is greater than 20% of the total
lines 2a or 2b.
_1
N
I
non-operating
revenue, specify the primary source of
RT
revenue Ebelow
_W

$ Bil.

CONTINUE ON PAGE 5

Form SA-71110EE
8

Page 5

(02-08-2019)

0040

Yes0_2

S
SA

04
_0

B. Did this firm1 have any revenues from customers entering orders directly on third-party websites or
1_
mobile applications
in 2018?
04
S
SA

0041

Yes1_2

S
SA

04
_0

C. Did this firm1 have any revenues from customers entering orders via any other electronic systems
_
42
(such as private
networks, dedicated lines, etc.) in 2018?
00
S
SA

0042

Yes2_2

S
SA

04
_0

$ Bil.
2500

0
50
_2
S
SA

Mil.

2018
Thou.

2018
Percent
1

Dol.

2501

0
25
S_
SA

09
A. Did the revenue
reported in
00
SA

0009

_2
Yes
09
00
_
S
SA

No - Go to

include any revenue from exports?

$ Bil.
2100

2018
Thou.

Dol.

71112056

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

0
10
_2
S
A

Mil.

CONTINUE ON PAGE 6

Form SA-71110EE

Page 6

(02-08-2019)

71112064

$ Bil.

Mil.

2018
Thou.

Dol.

1
82
_1
E
N

1821

O
1
82
_N
_1
ES
S
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA

2
82
_1
E
N

1822

1823

O
22
_N
18
ES
S_
S
E
N
NS 3
PE
PE 82
EX
X
_
_1
E
S
S_ NE
SA
SA NO
23
_
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA
0
86
_1
E
N

1860

1826

O
60
_N
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
6
E
S
82
S_
SA
_1
SA
NE
O
6
82
_N
_1
ES
S
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA
1
83
_1
E
N

1831

O
31
_N
18
ES
S_
S
E
N
NS
PE
PE
EX
X
_
E
S
S_
SA
SA

ON PAGE 7
CONTINUE ON PAGE 7

Form SA-71110EE

Page 7

(02-08-2019)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Other Operating Expenses - Continued
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases
of merchandise for resale and non-operating
79
18 item is greater than 20% of the total
expenses. If this
N_
I
operating expenses,
specify the primary source of the
RT
W
_below
expenses
S
E
NS
PE
X
E
S_
SA

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

9
87
_1
E
N

1879

1900

O
79
_N
18
ES
S_
S
E
N
NS
PE
0
PE
EX
X
90
_
S
_1
_E
S
S
SA
E
SA
NS
PE
X
E
S_
SA

71112072

15 and 16 Not Applicable.

CONTINUE ON PAGE 8

Form SA-71110EE

Page 8

(02-08-2019)

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

71112080

7
02
_0
S
SA

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

NM
NT

LE
IT
CT

Area code
Telephone
E-mail address
EM

L1
AI

Title

A
RE
CA

Number
F
RE
CP

F
UF
CS

Extension

Area code
Fax

XT
CE

X
FA

Website address
E
TN
IN

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71120A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

71121016

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71120A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

71121024

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71120A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Report gross receipts for racetracks.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Commissions, fees, and revenue from corporate sponsorships and event prize money.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

71121032

Admissions revenue (excluding admissions taxes) - The sale of
general or specific event admissions, exclude any state and local
admission taxes. Baseball, football, and other professional athletic
clubs should report total receipts from admissions to their home
games, including visiting teams' share (both league and nonleague).
Do not deduct any payments made to operators of the facilities used
All other operating revenue - The sale of food, refreshments,
and alcoholic beverages that are not included in the admissions
price; any coin-operated amusement devices operated by this firm;
parking revenue; local market revenue from radio and television
broadcasting; and your share of national broadcast revenue. Race
tracks also include your share of revenue from pari-mutual betting.
Exclude revenue from merchandise licensing, rental revenue and
commissions from concessions and coin-operated machines operated
by others, and sales and admissions taxes. Race tracks also exclude
the state's share of revenue and return to bettors. If this item is
greater than 20% of the total operating revenue, specify the
primary source of the revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

3002

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-71120A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

71121040

CONTINUE ON PAGE 5

Form SA-71120A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

71121057

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-71120A

Page 6

(DRAFT)

71121065

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71120E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

71120018

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71120E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

71120026

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71120E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

71120034

$ Bil.

Mil.

2018
Thou.

Dol.

3002

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-71120E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

71120042

CONTINUE ON PAGE 5

Form SA-71120E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

71120059

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-71120E

Page 6

(DRAFT)

71120067

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71150A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

71151013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71150A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

71151021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71150A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

71151039

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-71150A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

71151047

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 5

Form SA-71150A

Page 5

(DRAFT)

71151054

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-71150A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

71151062

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-71150A

Page 7

(DRAFT)

71151070

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71150E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

71150015

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71150E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

71150023

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71150E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

71150031

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-71150E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.

Mil.

2018
Thou.

2018
Percent

Dol.

2500

2501

include any revenue from exports?

Yes
0009

No - Go to

$ Bil.

2018
Thou.

Dol.

2100

71150049

B. What was this firm's revenue from exports in 2018? . . . . . . . . .

Mil.

CONTINUE ON PAGE 5

Form SA-71150E

Page 5

(DRAFT)

71150056

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

ON PAGE 6
CONTINUE ON PAGE 6

Form SA-71150E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1879

1900

71150064

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-71150E

Page 7

(DRAFT)

71150072

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71311A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

71312011

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71311A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

71312029

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71311A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

71312037

Admissions revenue (excluding admissions taxes) - Gross
box office receipts from the sale of admissions tickets exclusive of
any state or local admissions taxes (include theater or facilities
owners' share, if any). Include receipts from all home, hall or tour
subscriptions, and other concerts or performances for which paid
attendance may be determined by ticket sales, including minimum
guarantee and percentage arrangements. Dinner theaters should
include all combined admission/dinner receipts on this line
. . . . .
All other operating revenue - The sale of food, refreshments,
and alcoholic beverages that are not included in the admissions
price; any coin-operated amusement devices operated by this firm;
merchandise sales; parking revenue; and any other operating revenue
not reported above. Exclude rental revenue and commissions from
concessions and coin-operated machines operated by others and
sales and admissions taxes. If this item is greater than 20% of
the total operating revenue, specify the primary source of the
revenue below

$ Bil.

Mil.

2018
Thou.

Dol.

3002

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-71311A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

71312045

CONTINUE ON PAGE 5

Form SA-71311A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

71312052

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-71311A

Page 6

(DRAFT)

71312060

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-71311E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

71311013

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-71311E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

71311021

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-71311E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

71311039

$ Bil.

Mil.

2018
Thou.

Dol.

3002

1799

3.
7

TOTAL OPERATING REVENUE
Sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1800

Not Applicable.

CONTINUE ON PAGE 4

Form SA-71311E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

71311047

CONTINUE ON PAGE 5

Form SA-71311E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

71311054

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-71311E

Page 6

(DRAFT)

71311062

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-72000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

72103013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-72000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

72103021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-72000A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenue from room and board.
• Revenue from camp tuition and campers fees.
• Receipts from guest rooms or unit rentals for all establishments owned by this firm.
• Receipts from rentals of public rooms such as ballrooms, conference rooms, etc.
• Sales of meals, alcoholic beverages, and other merchandise.
• Gaming operations.
• Site rental and equipment usage fees.
• Receipts from valet, laundry, parking, and other guest services provided by this firm.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Occupancy Taxes.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
• Grants and donations.
• Franchise revenues and royalties.
$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

72103039

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-72000A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.
14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.
• Purchases of goods for resale or cost of goods sold.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).

72103047

CONTINUE ON PAGE 5

Form SA-72000A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

72103054

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-72000A

Page 6

(DRAFT)

72103062

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-72000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

72102015

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-72000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

72102023

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-72000E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

2018
Thou.

Dol.

1800

Not Applicable.

72102031

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-72000E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

9 – 13 Not Applicable.
14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.
• Purchases of goods for resale or cost of goods sold.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).

72102049

CONTINUE ON PAGE 5

Form SA-72000E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

72102056

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-72000E

Page 6

(DRAFT)

72102064

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-72100A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

72101017

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-72100A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

72101025

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-72100A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

NUMBER OF ESTABLISHMENTS
Mark "X"
if None

How many establishments (hotels) did this firm have in the following categories
in 2018?
A. Owned or leased by THIS firm and managed by THIS firm . . . . . . . . . . . . . . . .

8011

B. Owned by or leased by THIS firm, but managed by ANOTHER firm

8012

. . . . . . . . . . .

1. What was the name and EIN of the management company for the hotels reported in
If more than one management company, continue in 17 .
Name of Company

2018
Number

EIN (9 digits)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Commissions, fees, and revenue from admissions and the use of facilities.
• Receipts from guest rooms or unit rentals for all establishments owned by this firm.
• Receipts from rentals of public rooms such as ballrooms, conference rooms, etc.
• Sales of meals, alcoholic beverages, and other merchandise.
• Gaming operations.
• Site rental and equipment usage fees.
• Receipts from valet, laundry, parking, and other guest services provided by this firm.
• For casino hotels, report sales net of promotional allowances.
• Franchise or royalty fees.
• Management fees.
• Cost reimbursables from managed hotels.
• Revenues from electronic sources.

72101033

Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Occupancy Taxes.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
• Revenue from casinos without accommodations.
• Revenue from timeshares or vacation ownership.
Mark "X"
if None

Hotels that this firm owns or leases (include room revenue, meals,
beverages, gaming, retail, guest services, etc.) . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

8101

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-72100A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Franchise or royalty fees

. . . . . . . . . . . . . . . . . . . . . . . . . . .

8102

Hotel management fees . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8103

4.
5.

Cost reimbursables from managed hotels . . . . . . . . . . . . . . . . .
All other operating revenue - Revenue not reported in lines
1 through 4. If this item is greater than 20% of the total
operating revenue, specify the primary source of the revenue
below

8104

TOTAL OPERATING REVENUE
Sum of lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

72101041

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-72100A

Page 5

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.
• Purchases of goods for resale or cost of goods sold.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Mark "X"
if None

72101058

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-72100A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 HOTEL MANAGEMENT
A hotel management company is a firm that both manages and provides the operating staff for short-stay
accommodation establishments (e.g., hotels and motels) on a contractual basis.
A. Did this firm manage any hotels for another firm (a third party) in 2018?
Yes
No - Go to

2018
Number

B. How many of the hotels managed by this firm were owned or leased by ANOTHER firm
(a third party) in 2018? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C. What was the total value of the following for the hotels reported in

1. Revenue
Refer to includes and excludes in

in 2018?
$ Bil.

. . . . . . . . . . . . . . . . . .

2. Revenues from electronic sources
Include rooms booked online as described in
3. Operating expenses
Refer to includes and excludes in

15 B

14 .

8203

. . . . . . . . . . . . . . . . .

8204

B, and

Mil.

2018
Thou.

Dol.

8201

. . . .

8013

72101066

16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-72100A

Page 7

(DRAFT)

72101074

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-72100E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

72100019

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-72100E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

72100027

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-72100E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

NUMBER OF ESTABLISHMENTS
Mark "X"
if None

How many establishments (hotels) did this firm have in the following categories
in 2018?
A. Owned or leased by THIS firm and managed by THIS firm . . . . . . . . . . . . . . . .

8011

B. Owned by or leased by THIS firm, but managed by ANOTHER firm

8012

. . . . . . . . . . .

1. What was the name and EIN of the management company for the hotels reported in
If more than one management company, continue in 17 .
Name of Company

2018
Number

EIN (9 digits)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Commissions, fees, and revenue from admissions and the use of facilities.
• Receipts from guest rooms or unit rentals for all establishments owned by this firm.
• Receipts from rentals of public rooms such as ballrooms, conference rooms, etc.
• Sales of meals, alcoholic beverages, and other merchandise.
• Gaming operations.
• Site rental and equipment usage fees.
• Receipts from valet, laundry, parking, and other guest services provided by this firm.
• For casino hotels, report sales net of promotional allowances.
• Franchise or royalty fees.
• Management fees.
• Cost reimbursables from managed hotels.
• Revenues from electronic sources.

72100035

Hotels that this firm owns or leases (include room revenue, meals,
beverages, gaming, retail, guest services, etc.) . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

8101

ON PAGE 4
CONTINUE ON PAGE 4

Form SA-72100E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

Franchise or royalty fees

. . . . . . . . . . . . . . . . . . . . . . . . . . .

8102

Hotel management fees . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8103

4.
5.

8104

TOTAL OPERATING REVENUE
Sum of lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . .

$ Bil.

Mil.

2018
Thou.

Dol.

1799

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

72100043

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-72100E

Page 5

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2018?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.
• Purchases of goods for resale or cost of goods sold.
• Expenses of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans.
Exclude the cost of leased employees, employer's cost for fringe benefits, and temporary staff obtained from
temporary help services. For unincorporated businesses, exclude profit or other compensation of proprietors or
partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Mark "X"
if None

72100050

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-72100E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

2018
Number

1. Revenue
Refer to includes and excludes in

in 2018?
$ Bil.

. . . . . . . . . . . . . . . . . .

2. Revenues from electronic sources
Include rooms booked online as described in
3. Operating expenses
Refer to includes and excludes in

15 B

14 .

8203

. . . . . . . . . . . . . . . . .

8204

B, and

Mil.

2018
Thou.

Dol.

8201

. . . .

8013

72100068

16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-72100E

Page 7

(DRAFT)

72100076

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-81000A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

81001018

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-81000A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

81001026

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-81000A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenue for maintenance and repair services, delivery services, and installation.
• Installation of replacement parts. Do not deduct trade-in allowances.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
• Gross rents and gross sales price.

$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

81001034

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-81000A
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

81001042

CONTINUE ON PAGE 5

Form SA-81000A

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

81001059

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-81000A

Page 6

(DRAFT)

81001067

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-81000E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

81000010

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-81000E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

81000028

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-81000E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

Not Applicable.

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
• Revenue for maintenance and repair services, delivery services, and installation.
• Installation of replacement parts. Do not deduct trade-in allowances.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
• Gross rents and gross sales price.

$ Bil.

2018
Thou.

Dol.

1800

Not Applicable.

81000036

TOTAL OPERATING REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mil.

CONTINUE ON PAGE 4

Form SA-81000E
8

Page 4

(DRAFT)

REVENUES FROM ELECTRONIC SOURCES
A. Did this firm have any revenues from customers entering orders directly on the firm's websites or
mobile applications in 2018?
Yes
0040

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

81000044

CONTINUE ON PAGE 5

Form SA-81000E

Page 5

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law.
Include insurance premiums for hospital plans, medical plans,
and single service plans (e.g., dental, vision, prescription drugs);
premium equivalents for self-insured plans and fees paid to
third-party administrators (TPAs); defined benefit pension plans;
defined contribution plans (e.g., profit sharing, 401K, stock option
plans); and other fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, life insurance benefits, Medicare). Exclude
employee contributions. . . . . . . . . . . . . . . . . . . . . . . . . .
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed equipment, materials, parts, and supplies (not for
resale) - Include expensed computer hardware and other equipment
(e.g., copiers, fax machines, telephones, shop and lab equipment,
CPUs, monitors). Include materials and supplies used in providing
services to others; materials and parts used in repairs; office and
janitorial supplies; small tools; containers and other packaging
materials; and motor fuels. Report packaged software in line 3 and
leased and rented equipment in line 4b. . . . . . . . . . . . . . . . . . .
Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1831

1879

81000051

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4b
. . . . . . . . . . . . . . . . . . . . . . . .

1900

15 and 16 Not Applicable.

CONTINUE ON PAGE 6

Form SA-81000E

Page 6

(DRAFT)

81000069

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-81300A

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov

81310013

Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-81300A
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

Not Applicable.

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

81310021

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-81300A
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

SALES, RECEIPTS, OR REVENUE

81310039

What were the revenues for this firm in 2018?
Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.
• Revenues from electronic sources.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. possessions).
Mark "X"
if None

1.
2.
3.

Contributions, gifts, and grants received . . . . . . . . . . . . . . .
Investment and property income - Include interest and dividends.
Exclude gains (losses) from assets sold . . . . . . . . . . . . . . . . . .
Program service - Include revenue from the sale of any admissions
(excluding state, local, or admission taxes); the use of facilities; the
operation of schools, classes, training facilities, and instructional
services; registration fees received in connection with a meeting or
convention; equipment rental services; government contracts; and
other fees received for providing a service . . . . . . . . . . . . . . . .
CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1741

1742

1743

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-81300A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

All other non-operating revenue - Revenue not reported in lines 1
through 3. Include capital gains and losses. If this item is greater
than 20% of the total revenue, specify the primary source of
revenue below

TOTAL REVENUE
Sum of lines 1 through 4

$ Bil.

Mil.

2018
Thou.

Dol.

1809

. . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

81310047

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-81300A

Page 5

(DRAFT)

81310054

. . . . . . . . . . . . . . .

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1740

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-81300A

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

81310062

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-81300A

Page 7

(DRAFT)

81310070

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2018 ANNUAL SERVICES REPORT

FORM

SA-81300E

(DRAFT)

Due Date

Need help or have questions?
Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://www.census.gov/programssurveys/sas/information.html

INTERNET REPORTING - This survey should be completed online at:
https://portal.census.gov
Authentication Code:

To view Survey Results:
https://www.census.gov/programs-surveys/sas.html

81300014

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above
PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

Form SA-81300E
1

Page 2

(DRAFT)

B. SURVEY COVERAGE
Did this firm provide the business activities described below?

Yes
0001

No - Specify this firm's business activity
0002

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
Does this firm report payroll under EIN
Yes
0013

No - Enter current 9-digit EIN AND date payroll was first
reported for this EIN . . . . . . . . . . . . . . . . . . . . . . .

EIN (9 digits)

0015

Month

Day

Year

0088

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2018?
Yes
0016

No - Go to

B. Which of the following organizational changes occurred in 2018?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
Sale
0091

81300022

Merger

Date of organizational change . . . . . . . . . . . . . .

Day

17 .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

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

City, town, village, etc.

State

ZIP Code

CONTINUE ON PAGE 3

Form SA-81300E
4

Page 3

(DRAFT)

Calendar year

Month

Day

Year

0006

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

0007

Month

Ending Date
Day
Year

0008

TAX STATUS
A. Is this firm or organization operated on a not-for-profit basis?
Yes
0031

No - Go to

B. Was all or part of the income of this firm or organization exempt from Federal income taxes under
section 501 of the Internal Revenue Code?
Yes
0030

No
6

SALES, RECEIPTS, OR REVENUE

81300030

1.
2.
3.

$ Bil.

Mil.

2018
Thou.

Dol.

1741

1742

1743

ON PAGE 4

CONTINUE ON PAGE 4

Form SA-81300E
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

TOTAL REVENUE
Sum of lines 1 through 4

$ Bil.

Mil.

2018
Thou.

Dol.

1809

. . . . . . . . . . . . . . . . . . . . . . . . . .

Not Applicable.

REVENUES FROM ELECTRONIC SOURCES

1800

No
B. Did this firm have any revenues from customers entering orders directly on third-party websites or
mobile applications in 2018?
Yes
0041

No
C. Did this firm have any revenues from customers entering orders via any other electronic systems
(such as private networks, dedicated lines, etc.) in 2018?
Yes
0042

$ Bil.
2500

Mil.

2018
Thou.

2018
Percent

Dol.

2501

81300048

9 – 13 Not Applicable.

CONTINUE ON PAGE 5

Form SA-81300E

Page 5

(DRAFT)

81300055

. . . . . . . . . . . . . . .

CONTINUE WITH

$ Bil.

Mil.

2018
Thou.

Dol.

1821

1822

1823

1860

1826

1740

ON PAGE 6

CONTINUE ON PAGE 6

Form SA-81300E

Page 6

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

$ Bil.

Mil.

2018
Thou.

Dol.

1831

1879

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

81300063

15 and 16 Not Applicable.

CONTINUE ON PAGE 7

Form SA-81300E

Page 7

(DRAFT)

81300071

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

18 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 address

THANK YOU for completing your 2018 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.

Number

File Type	application/pdf
Author	cogan300
File Modified	2019-02-12
File Created	2018-08-15