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U.S. DEPARTMENT OF COMMERCE
U.S. CENSUS BUREAU
Worksheet
(02-13-2020)
2019 ANNUAL CAPITAL EXPENDITURES SURVEY
WORKSHEET
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YOUR RESPONSE IS REQUIRED BY LAW. Title 13 United States Code (U.S.C.), Sections 131 and 182 authorizes this collection. Sections 224
and 225 require your response. The U.S. Census Bureau is required by Section 9 of the same law to keep your information CONFIDENTIAL and
can use your responses only to produce statistics. The Census Bureau is not permitted to publicly release your responses in a way that could
identify your business, organization, or institution. Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from
cybersecurity risks through screening of the systems that transmit your data. We estimate this survey will take an average of 1 hour to
complete, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information.
Page 1
ITEM 1A DOMESTIC DEPRECIABLE ASSET DATA
Report capital expenditures for all domestic operations of your enterprise, including subsidiaries and divisions. For this report, the terms enterprise
and company are used interchangeably.
Include
• Operations of subsidiary companies, where there is more than 50 percent ownership, as well as companies which the
enterprise has the power to direct or cause the direction of management and policies.
Row
Value
Bil.
Description
(Refer to Page 4 of Instructions)
Bil.
Gross depreciable assets (structures and equipment) at beginning of year
+
2
Total capital expenditures (If "None", enter "0") [Exclude land.]
+
3
Other additions and acquisitions (Please specify in the "Remarks" on page 7)
+
4
Acquisition cost of retirements and dispositions (including impairment costs and discontinued operations)
of depreciable assets during the year
–
5
Gross depreciable assets (structures and equipment) at year end (Row 1 + 2 + 3 – 4 = 5)
=
6
Accumulated depreciation and amortization at year end
Thou.
1
➤
1
ITEM 1B
Mil.
Mil.
1 8 0
Thou.
GROSS SALES, OPERATING RECEIPTS, REVENUE AND CHARITABLE CONTRIBUTIONS RECEIVED
Value
Description
Bil.
Mil.
Thou.
Gross domestic sales, operating receipts, and revenue for the reporting company and all consolidated
subsidiaries (Refer to page 4 of Instructions)
Page 2
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• Include depreciable assets of discontinued operations that are classified as being held for sale on line 4.
If you cannot report consolidated data for the entire enterprise, call 1–800–528–3049 to
arrange for special handling. If your company was purchased by another company during
Example: if figure is
2019, complete the survey for the part of the year prior to the sale, and enter the name and
$1,179,628.00
address of the new owner in the "Ownership Information" section on page 7.
report
ITEM 2
Row
CAPITAL EXPENDITURES
Report the following domestic capital expenditures data for the entire company.
(Refer to page 4 of Instructions)
DESCRIPTION
(Refer to Page 2 of Instructions)
Bil.
Capital expenditures for NEW structures and equipment
(Include major additions, alterations, and
capitalized repairs to existing structures)
2
Capital expenditures for USED structures
and equipment
3
TOTAL capital expenditures
(Add Rows 1 + 2)
Example: if figure is
$1,179,628.00 report
Structures
Equipment
(1)
(2)
Mil.
Thou.
Bil.
Mil.
Mil.
1
➤
1 8 0
Other
Total
(Describe in Item 3A/3B) (Add columns 1+2+3)
(3)
Thou.
Thou.
Bil.
Mil.
(4)
Thou.
Bil.
Mil.
Thou.
Total should equal
Item 1A, Row 2
ITEM 3A List the item(s) included in "Other" NEW capital expenditures in Column 3, Row 1 of Item 2. If you are including more than one item, list the
capital expenditures for each item separately in Rows 1-3 below, if possible. Report machinery, furniture and fixtures, computer software, IT
equipment, computers, website development, and motor vehicles as EQUIPMENT. Report leasehold improvements as NEW STRUCTURES or
NEW EQUIPMENT based on what is being improved. The sum of Rows 1-3 should equal the value in Column 3, Row 1 of Item 2.
Row
Description of "Other" NEW Capital Expenditures
Value
Bil.
Mil.
Thou.
1
2
3
Page 3
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1
Bil.
ITEM 3B List the item(s) included in "Other" USED capital expenditures in Column 3, Row 2 of Item 2. If you are including more than one item, list the
capital expenditures for each item separately in Rows 1-3 below, if possible. Report machinery, furniture and fixtures, computer software, IT
equipment, computers, website development, and motor vehicles as EQUIPMENT. Report leasehold improvements as NEW STRUCTURES or
NEW EQUIPMENT based on what is being improved. The sum of Rows 1-3 should equal the value in Column 3, Row 2 of Item 2.
Row
Value
Description of "Other" USED Capital Expenditures
Bil.
Mil.
Thou.
1
3
ITEM 4
Value
CAPITAL LEASES
For new capital expenditures reported in Item 2, provide the estimated cost of assets acquired under CAPITAL LEASE arrangements
entered into during the year. Exclude payments for operating leases and capitalized costs of leasehold improvements.
➤
TOTAL
Bil.
Mil.
Thou.
ITEM 5A CAPITALIZED COMPUTER SOFTWARE
(Refer to page 5 of Instructions)
Report capital expenditures for computer software
developed or obtained for internal use during the year.
Include amounts in Item 1A and Item 2.
Prepackaged
Vendor-customized
(1)
Bil.
Mil.
Internally-developed
(Including payroll)
(2)
Thou.
Bil.
Mil.
Total
(Add columns 1+2+3)
(3)
Thou.
Bil.
Mil.
(4)
Thou.
Bil.
Mil.
Thou.
Important: Exclude capital expenditures for computer
hardware.
Page 4
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2
ITEM 5B CAPITAL EXPENDITURES FOR ROBOTIC EQUIPMENT
Report capital expenditures for new and used robotic equipment in 2019, Include other one-time costs, including software and
installation.
IMPORTANT: EXCLUDE CAPITAL EXPENDITURES FOR SOFTWARE PURCHASED SEPARATELY TO ENHANCE OR UPGRADE YOUR
EXISTING ROBOTIC EQUIPMENT. Report the associated value in Item 5A.
Robots react to some events and conditions without need
of external direction or control and can make decisions or
navigate situations they encounter without assistance.
Some of the tasks performed by robots include:
• Assembly
• Cleaning
• Construction and Demolition
• Delivery
• Dispensing
• Inspection
• Machine Tending
• Material Handling
• Mining
• Packaging
• Painting
• Palletizing
• Pick and place
• Rescue
• Security
• Surgical assistance
• Therapy/rehabilitation
• Welding
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Robotic equipment (or robots) are automatically controlled
and reprogrammable machines capable of performing a
series of complex tasks autonomously or semi-autonomously.
Exclude:
• Automated teller machines (ATMs)
• CNC machining equipment
• Kiosks – A stationary, consumer oriented machine with a graphic interface and no visible
moving parts.
Report dollar values rounded to thousands.
(Example: If figure is $1,179,628.00 report as – $1,180)
2019
Report capital expenditures in 2019 for new and used robotic equipment, including
software, installation, and other one-time costs. (Estimates are acceptable)
Bil.
Mil.
Thou.
If "None", enter "0" in the value box to the right and leave the Remarks box below blank.
Remarks:
• Briefly list the types of robotic equipment the company purchased in 2019.
• If you are unable to report the capital expenditures for some or all of
the robotic equipment the company purchased in 2019, please explain:
Page 5
Worksheet ACE-1(M)
ITEM 6
CAPITAL EXPENDITURES BY INDUSTRY
Complete Item 6 for each industry in which the company had operations and made capital expenditures in 2019. (Refer to page 6 of the Instructions.)
Please refer to the complete list of possible industry codes and descriptions beginning on page 8 of the Instructions, Definitions, and Codes List
manual.
STRUCTURES + EQUIPMENT + OTHER = TOTAL
Industry
Category
Code
New
(2)
Bil
Mil
Equipment
Used
(3)
Thou
Bil
Mil
New
(5)
Thou
Bil
Mil
Used
(6)
Thou
Bil
TOTAL
CAPITAL
EXPENDITURES
Other
Mil
New
(8)
Thou
Bil
Mil
Used
(9)
Thou
Bil
Mil
(0)
Thou
Bil
Mil
Thou
*69
COLUMN
TOTALS
Should equal
Item 2, Row 1,
Column 1
Should equal
Item 2, Row 2,
Column 1
Should equal
Item 2, Row 1,
Column 2
Should equal
Item 2, Row 2,
Column 2
Should equal
Item 2, Row 1,
Column 3
Should equal
Item 2, Row 2,
Column 3
Should equal
Item 2, Row 3,
Column 4
* NOTE: If you had expenditures in more than 9 industries, photocopy Item 6 for additional space. Row 69, "Column Totals", should equal the sum of the
columns above plus the sum of the columns on the additional page(s).
Page 6
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Structures
(Include major additions, alterations
and capitalized repairs to existing
structures as new structures)
REPORTING PERIOD COVERED
TO
FROM
a. Do the reported data cover the calendar year 2019?
YES
Month
Day
Year
Month
Day
Year
Month
Day
Year
Month
Day
Year
➤
NO – Specify period covered
OWNERSHIP INFORMATION
YES
➤
NO – Give date operations ceased
b. Did the ownership of this company change during the year ending December 31, 2019?
➤
➤
YES – Specify date of change
AND fill in c. below
NO
c. Name of new operator/company
Number and street address
REMARKS
Contact name at new company
City
State
ZIP Code
Contact area code & phone number
Please explain any large or unusual changes to your company’s reported domestic capital expenditures.
CERTIFICATION – This report is substantially accurate and has been prepared in accordance with instructions.
Name of person to contact regarding this report (Please print or type)
Signature of authorized official
Telephone
number
Area code
Number
Ext.
Area code
Number
Fax
E-mail address
Month
Day
Year
Date
For more information, refer to: portal.census.gov or call 1-800-528-3049
THANK YOU FOR YOUR COOPERATION AND ASSISTANCE IN THIS SURVEY.
Page 7
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a. Was this company in operation on December 31, 2019?
| File Type | application/pdf |
| File Modified | 2020-11-05 |
| File Created | 2020-01-27 |