Attachment D - Information Sheet_NC-99007

Attachment D
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2020-2022 Report of Organization
OMB Control Number 0607-0444
Form NC-99007 Information Sheet

2020 Instructions
Report of Organization

NC-99007:
This survey contains questions about the organization, and allows the respondent to add additional
locations if needed.
Estimates are acceptable if book figures are not readily available.
This survey is completed online using a question-by-question response driven approach.
You navigate through the survey, provide responses to questions, and click the ‘Save and Continue’
button.
Once data are completed, review and correct the responses (as needed) and submit the responses within the
online instrument.

Burden Statement
We estimate this survey will take an average of 0.2 hours to complete, which includes the
time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, and completing and reviewing the collection of information.
Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to: ESMD Survey Comments
0607- 0444, U.S. Census Bureau, 4600 Silver Hill Road, Room ESMD-5H160, Washington, DC
20233. You may e-mail comments to esmd.surveys@census.gov. Be sure to use “ESMD
Survey Comments 0607-0444” as the subject.
Response to this collection of information is not required unless it displays a valid approval
number from the Office of Management and Budget (OMB). The OMB eight-digit number
appears in the upper right corner of the instrument.

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Ceased Operation or Sold or leased to another operator - If your organization ceased operation or sold
or leased to another operator before 2020, enter the information in ITEM 4: REMARKS along with the
effective date of the status change. If your organization was in operation for any part of 2020, a
completed survey is required for the portion of the year in 2020 in which your organization was in
operation.
Census File Number (CFN) - A CFN has been assigned to your company. Always refer to the complete
number in any correspondence with the U.S. Census Bureau.
Employer Identification Number (EIN) - The EIN is the nine-digit taxpayer identification number assigned
by the Internal Revenue Service (IRS) and used by all business firms and other legal entities to file federal
employment tax returns such as Forms 941 and 943; and federal income tax returns such as Forms 1065,
1120, and 990 series.
Company - An economic unit comprising one or more establishments under common ownership or
control.
Subsidiary - A company that is owned or controlled by another firm or company. Subsidiaries include
firms in which your company owns more than 50 percent of the outstanding voting stock, as well as
firms in which your company has the power to direct or cause the direction of the management and
policies.
Establishment - An establishment is a single physical location where business is conducted or where
services or industrial operations are performed (for example: a factory, mill, store, hotel, movie theater,
mine, farm, and administrative office). If distinctly separate activities are performed at the same location,
and if there is significant employment in each activity, then each activity should be treated as a separate
establishment, except agricultural production as explained below (for example: construction activities
operated out of the same physical location as a lumber yard).
For firms engaged in construction, real estate management or operation, transportation, communication,
electric, gas, and sanitary services, and similar types of physically dispersed activities, it is not necessary to
list separately each individual site, project, field, network, line, or system. It is only necessary to report for
main or branch offices, terminals, stations, etc., which are either (a) directly responsible for supervising
such activities, or (b) the base from which personnel operate to carry out these activities.
Foreign Locations - Report a foreign location only if any of the employees at the location are reported
on an IRS Form 941 for an EIN that is also used to report employees at domestic locations. You only need
to report one foreign location for each such EIN. If more than one such establishment exists for an EIN,
consolidate the employment and payroll data at the headquarters location, using foreign employees as
the secondary name.

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MAILING ADDRESS
This information is what the U.S. Census Bureau has on file for this establishment and lists the
location this survey was mailed to. Respondents may update ATTN, Name 1, Name 2, Street, City,
State, and ZIP Code fields if the information displayed is incorrect.
ITEM 1A: OWNERSHIP OR CONTROL - VOTING STOCK VALIDATION
Select the suitable answer to indicate if another domestic company owns more than 50 percent of
the voting stock of your company.
ITEM 1B: OWNERSHIP OR CONTROL - MANAGEMENT AND POLICY
Select the suitable answer to indicate if another domestic company has the power to control the
management and policies of your company.
ITEM 1C: OWNERSHIP OR CONTROL - PERCENT OF VOTING STOCK HELD
Select the suitable answer to indicate the percentage of voting stock held by the owning or
controlling company. Franchisees should not list their franchisor as a controlling company unless they
own more than 50 percent of the voting stock.
ITEM 1D: OWNERSHIP OR CONTROL - COMPANY INFORMATION
Enter the name, address, and Employer Identification Number (EIN) of the owning or controlling
company.
Note: Do not list the company for which you operate a franchise.

ITEM 5: NUMBER OF ESTABLISHMENTS
List the number of establishments operated under the establishment’s Employer Identification
Number (EIN).

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ITEM 5: NUMBER OF ESTABLISHMENTS - ESTABLISHMENT INFORMATION
Location Information
For each new establishment being added enter the Name, Secondary Name, Store/Plant, Number
and Street, City, State, ZIP Code, and kind of business at this location.
Special Instructions for Off-Site Employees and Selected Industries
Off-Site Employees e.g., work at home, virtual office, telecommuting, field or remote personnel
Include employment and payroll data for these employees at regional or district offices, if
available. If there are no regional or district offices, consolidate and report the data for these
employees by state. Enter an appropriate description in the Secondary Name field.
Agricultural production
Establishments having any agricultural production regardless of whether it is the major activity
should be listed separately and the employment and payroll data allocated if appropriate.
Agricultural production includes the raising of/or production of crops (including horticultural
products), poultry, or livestock for sale.
When adding establishments engaged in agricultural production, be sure to give the type of
crops, livestock, etc.
Construction establishment
A construction establishment is a relatively permanent office, or other place of business, where the
usual business activities related to construction are conducted. With some exceptions, a relatively
permanent office is one which has been established for the management of more than one project
or job and which is expected to be maintained on a continuing basis.
Banks
When adding establishments, list only the EINs used to report either Federal employment taxes
(IRS Form 941) or income (IRS Forms 1065, 1120, and 990). DO NOT LIST EINs assigned to trust
funds or estates managed by the bank and reported on IRS Form 1041, U.S. Fiduciary Income Tax
Return. Report main and branch locations as separate establishments. Individual ATM outlets
should not be listed as separate establishments.
Retail departments or concession
List as a separate establishment (including specific street address) those retail or service outlets
operated by your firm as a department of a retail or service establishment, such as shoe
departments or beauty salons in department stores, meat or bakery departments in grocery stores,
or millinery departments in clothing stores.
Medical
Part-time offices should not be considered as separate establishments. List only the offices that are
staffed on a full-time basis and include the employment and payroll for the part-time offices. Home
health care services should not consider the customers’ locations as separate establishments.
Employment and payroll for these locations should be included with the main or branch office from
which the work is supervised.
Legal
Part-time, temporary, or special offices should not be considered separate establishments for
purpose of this report. Data for such locations should be included with the controlling main or
branch location where the service is primarily performed.
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Employment and Payroll
Enter the number of employees for the pay period including March 12th, the first quarter payroll,
and the annual payroll for the location for the survey year.
Employment:
Please use the number of employees, both full- and part-time whose payroll was reported on
your organization's Internal Revenue Service Form(s) 941, Employer's Quarterly Federal Tax
Return. Include as employees all persons on paid sick leave, paid holidays, and paid vacations;
include salaried officers and executives of incorporated firms.
Exclude full- or part-time leased employees whose payroll was filed under an employee
leasing company's EIN and temporary staffing obtained from a staffing service.
Payroll:
Include the total of wages paid, tips reported, and other compensation paid to your
employees in the calendar year, whether or not subject to income or social security taxes.
Include all wages, salaries, commissions, fees, bonuses, vacation allowances, sick leave pay,
severance pay, the amount of reported tips, and the value of taxable fringe benefits. Also,
include any employee contributions to a qualified pension plan, such as the 401(k) plan. Also,
include the spread on stock options that are taxable to employees as wages.
For incorporated businesses, include the salary of all officers and executives.
Exclude pensions, annuities, supplemental unemployment compensation benefits,
nontaxable fringe benefits, and commissions and fees paid to independent contractors.
Also, exclude employer contributions for pension plans, health insurance, and qualified
benefits under a cafeteria plan. For unincorporated businesses, exclude the profit or
compensation paid to proprietors or partners.
The sum of payroll reported for individual establishments for an EIN should equal the taxable
Medicare wages and tips reported on Item 5c of IRS form 941, Employer’s Quarterly Federal
Tax Return plus the spread on stock options that are taxable to employees.

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