Form Nc 99001 PDF Details

Understanding the nuances and requirements of the Form NC-99001, a document mandated by the U.S. Department of Commerce and conducted by the Economics and Statistics Administration through the U.S. Census Bureau, is essential for businesses and organizations undergoing the 2012 Report of Organization process. With a due date explicitly set for February 12, 2013, and a legal backdrop that obligates compliance under Title 13 of the United States Code, respondents are urged to provide accurate and timely information under the assurance of confidentiality protected by law. The form delves into various dimensions of an organization's operational framework, including company ownership or control, both domestic and foreign, research and development expenditures, operating revenues, net sales, and detailed accounts of manufacturing activities among others. Intricacies such as the ownership percentage, direct and indirect control by foreign entities, and specifics on royalties, license fees, and the engagement in manufacturing activities, outline the broad spectrum of data collection catered by this form. Moreover, the instruction for reporting dollar figures in thousands and its emphasis on confidentiality and legal immunity of the respondents' information underscore the form's comprehensive and sensitive approach to gathering economic data crucial for statistical purposes.

QuestionAnswer
Form NameForm Nc 99001
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namesNC99001 form nc99001

Form Preview Example

99001018

U.S. DEPARTMENT OF COMMERCE

2012 REPORT OF ORGANIZATION

Economics and Statistics Administration

U.S. CENSUS BUREAU

 

FORM

 

NC-99001 (06-01-2012)

OMB No. 0607-0444: Approval Expires 10/31/2013

(Please correct any errors in this mailing address.)

 

DUE DATE

 

 

 

 

FEBRUARY 12, 2013

 

 

 

Need help or have questions?

 

 

 

Read the accompanying information sheet(s) before

 

NC-99001

 

 

 

 

answering the questions.

 

 

 

 

 

 

 

 

 

 

 

Visit econhelp.census.gov

Call 1-800-233-6136, between 8:00 a.m. and 6:00 p.m., Eastern time, Monday through Friday.

 

 

 

COPY

INFORMATIONREPORT

 

 

USE

TO

DO

NOT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Report Online - It's fast and secure!

 

Mail your

U.S. CENSUS BUREAU

- OR -

 

 

 

completed

1201 East 10th Street

Go to:

econhelp.census.gov

 

form to:

Jeffersonville, IN 47134-0001

 

 

 

 

 

YOUR RESPONSE IS REQUIRED BY LAW. Title 13, United States Code, requires businesses and other organizations that receive this questionnaire to answer the questions and return the report to the U.S. Census Bureau. By the

same law, YOUR CENSUS REPORT IS CONFIDENTIAL. It may be seen only by persons sworn to uphold the confidentiality of Census Bureau information and may be used only for statistical purposes. Further, copies retained in respondents' files are immune from legal process.

 

• Use blue or black ballpoint pen.

Please center numbers in

Examples:

 

Do not use pencil or felt-tip pen.

 

their respective boxes.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do not put slashes through 0 or 7.

Place an "X" inside the box.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1COMPANY OWNERSHIP OR CONTROL

A. DOMESTIC OWNERSHIP OR CONTROL

1.Does another domestic company hold more than 50 percent of the voting stock of your company or have the power to control the management and policies of your company?

0008

 

Yes - Enter the following information of the owning or

0009

 

No - Go to line B

 

 

controlling company

 

 

 

 

 

 

 

 

0080

Name of owning or controlling company

0081 Employer Identification

 

 

 

Number (EIN) of

-

 

 

owning or controlling

 

 

company (9 digits)

 

0082 Home office address (Number and street)

0083

City, town, village, etc.

0084 State

0085 ZIP Code

 

 

 

 

-

2.What percent of voting stock was held by the owning or controlling company? (Mark "X" only ONE box.)

 

 

 

 

 

 

 

 

 

 

 

 

 

0027

 

 

Less than 50%

0028

 

50%

0029

 

 

More than 50%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTINUE WITH 1

ON PAGE 2

PENALTY FOR FAILURE TO REPORT

Form NC-99001 (06-01-2012)

1COMPANY OWNERSHIP OR CONTROL - Continued

B.FOREIGN OWNERSHIP OR CONTROL

Does a foreign entity (company, individual, government, etc.) own directly or indirectly 10 percent or more of the voting stock or other equity rights of your company?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6101

 

 

 

Yes - Enter the following information of the owning

6102

 

 

 

No - Go to line C

 

 

 

 

 

 

entity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6103

Name of foreign beneficial owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6104 Home office address (Number and street)

 

 

6105

City

 

 

 

 

 

 

 

 

 

 

 

 

6106

C

ountry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COPY

 

 

 

 

 

 

I

NFORMATIO

NR

EP

 

ORT

 

 

 

 

 

 

 

 

What was the percent

 

 

 

 

T

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6111

 

10% - 24%

6113

 

 

O50%

 

6115

 

 

 

 

100%

 

 

ownership (direct and

 

 

 

 

 

USE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

indirect)? (Mark "X"

 

 

NOT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

only ONE box.)

DO

6112

 

25% - 49%

6114

 

 

 

51% - 99%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C.FOREIGN AFFILIATES

Does this company alone, or with its domestic affiliates, own 10 percent or more of the voting stock of an incorporated foreign business enterprise, or an equivalent interest in an unincorporated business enterprise, including ownership of real estate?

6126

Yes

6127

No

2RESEARCH AND DEVELOPMENT

How much research and development (R&D) did your company perform or fund in the United States in 2012?

6139

None

6132

Some, but less than $3 million

6133

$3 million or more

99001026

Form NC-99001

HOW TO

REPORT

DOLLAR

FIGURES

(06-01-2012)

 

Dollar figures should be rounded to

 

Mark "X"

 

2012

 

 

 

 

if None

$ Bil.

Mil.

Thou.

 

thousands of dollars.

 

 

 

 

 

 

2

0 3 6

 

If a figure is $2,035,628.79:

Report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If a value is "0" (or less than $500.00):

Report

 

 

 

 

 

EXAMPLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

99001034

3COMPANY ACTIVITIES

A.EMPLOYEES FROM A PROFESSIONAL EMPLOYER ORGANIZATION

Did your company lease 50 percent or more of its permanent full- and part-time workforce from a Professional Employer Organization during 2012? (Permanent workforce excludes temporary staffing from a staffing service and contractors.)

0244 Yes

 

0245

 

 

 

No

INFORMATION

COPY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. OPERATING REVENUES AND NET SALES

 

 

 

 

1.

Your company's operating revenues and net sales generated fromREPORTU.S. operations (i.e., located in the 50 states

 

 

and the District of Columbia) in 2012.

USE

TO

 

 

 

 

 

 

 

 

Include:

 

NOT

 

 

 

 

 

of goodsDOand services to foreign firms.

 

 

 

 

 

Sales

 

 

Revenues of discontinued operations.

Sales to foreign parent firm and its affiliates not owned by your company.

Exclude:

Sales generated by your company's foreign operations.

Domestic inter-company sales.

Special instructions for tax-exempt firms: Report revenues, realized gains and losses and contributions for all classes of net assets regardless of restrictions.

 

Mark "X"

 

2012

 

 

if None

$ Bil.

Mil.

Thou.

 

 

 

 

 

Operating revenues and net sales . . . . . . . . . . . . . 0100

2.Did your company have foreign subsidiaries in 2012?

9760 Yes - Go to line 3

9761 No - Go to 3 C, ROYALTIES AND LICENSE FEES FOR THE USE OF INTELLECTUAL PROPERTY

3.Does the amount reported on line 1 include inter-company sales by your company's domestic operations to foreign subsidiaries?

9755 Yes - Go to 3 C, ROYALTIES AND LICENSE FEES FOR THE USE OF INTELLECTUAL PROPERTY

9756 No - Go to line 4

Mark "X"

 

2012

 

if None

$ Bil.

Mil.

Thou.

 

 

 

 

4.Report inter-company sales by your company's domestic operations to foreign subsidiaries . . . . . . . . . . . . . 9758

CONTINUE WITH 3 ON PAGE 4

Form NC-99001 (06-01-2012)

3COMPANY ACTIVITIES - Continued

C. ROYALTIES AND LICENSE FEES FOR THE USE OF INTELLECTUAL PROPERTY

1.Did your company's U.S. operations earn revenue in 2012 from royalties or license fees for rights to use intellectual property?

Include:

Revenues from royalties and license fees for intellectual property owned by your domestic company's domestic operations (i.e., located in the 50 states and the District of Columbia).

Royalties and license fees paid to your company's domestic operations by foreign subsidiaries.

Exclude:

Sales involving the transfer of ownership rights.

Sales of and products sold with end-use licenses.

Franchise fees.

9701 Yes - Go to line 2

9702 No - Go to 3 D, MANUFACTURING ACTIVITIES

 

INFORMATION

2.

 

 

TO

Revenues from royalties and license fees for rights to use

 

 

USE

 

 

intellectual property in 2012

 

NOT

 

 

3.

Revenues from yourDOcompany's U.S. operations, as

 

reported in line 2, for the following types of royalties and license fees in 2012:

a. Technological or industrial processes (Include patents, trade secrets, and proprietary technology. Exclude computer software.) . . . . . . . . . . . . . . . . . .

b. Entertainment, artistic, educational, and literary original works (Include royalties and license fees for rights to perform, broadcast, reproduce, and sell copyrighted materials and other intellectual property such as films, television and radio programs, written works, and musical and other artistic works. Exclude computer software.) . . . . . . . . . . . . . . . . . . . . . . .

c. Software - Rights to reproduce, distribute, or use software protected by copyright and owned or controlled by the licensor (Exclude sales of software sold with end-use licenses, as well as custom software and programming services.) . . . . . . . . . . . . . . . .

d. Other - Specify

 

COPY

 

 

Mark "X"

 

 

 

 

if None

 

$ Bil.

 

9703

REP

 

ORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mark "X"

 

 

 

 

 

 

 

 

if None

 

$ Bil.

 

 

 

 

9704

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9705

9706

2012

Mil.Thou.

2012

Mil.Thou.

9752

 

9751

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e.TOTAL (Sum of lines 3a through 3d should equal

line 2.) . . . . . . . . . . . . . . . . . . . . . . . . 9708

99001042

CONTINUE WITH 3 ON PAGE 5

99001059

Form NC-99001 (06-01-2012)

3COMPANY ACTIVITIES - Continued

D.MANUFACTURING ACTIVITIES - Please respond even if you are not a manufacturer.

In 2012, did your company do any of the following activities related to manufacturing?

1.Operate manufacturing facilities (such as a factory, plant, or mill) where products are completed or partially produced?

9709 Yes - Go to line 2

9710 No - Go to line 3

2.Provide contract manufacturing services to other companies incorporating their patents, trade secrets, or proprietary technology?

 

9711

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No - Go to line 3

 

 

 

 

 

 

 

 

 

 

 

9712

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Estimate the percent of operating revenues and net sales, as reported in 3

B, OPERATING REVENUES

 

 

AND NET SALES, from contract manufacturing services. COPY

 

 

 

 

 

 

 

INFORMATIONREPORT

 

 

 

 

 

 

 

9713

 

 

Less than 25%

 

 

 

 

 

9714

 

 

25% - 49%

NOT

USE

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9715

 

 

50%DO- 74%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9716 75% - 99%

9717 100%

3.Purchase contract manufacturing services from other companies or foreign subsidiaries of your company incorporating your company's patents, trade secrets, or proprietary technology?

9718 Yes

9719 No - Go to 4 , CERTIFICATION

a.Use 3rd party contract manufacturing services inside the United States (i.e., located in the 50 states and the District of Columbia)?

9720 Yes

9721 No

b.Use 3rd party contract manufacturing services outside the United States (i.e., located outside the 50 states and the District of Columbia)?

9722 Yes

9723 No

c.Use your company's foreign subsidiaries' or affiliates' contract manufacturing services at locations outside the United States (i.e., located outside the 50 states and the District of Columbia)?

9724 Yes

9725 No

d.Estimate the percent of the cost of sales from expenses for contract manufacturing services.

9726 Less than 25%

9727

25% - 49%

9728

50% - 74%

9729

75% - 99%

9730

100%

99001067

Form NC-99001 (06-01-2012)

REMARKS (Please use this space for any explanations that may be essential in understanding your reported data.)

$$CENSUS_REMARKS$$

 

 

 

COPY

INFORMATIONREPORT

 

 

USE

TO

DO

NOT

 

 

 

 

 

 

4CERTIFICATION - This report is substantially accurate and was prepared in accordance with the instructions.

Is the time period covered by this report a

Month

Year

Month

Year

calendar year?

 

 

 

 

 

 

Yes

No - Enter time period covered

FROM

 

TO

 

Name of person to contact regarding this report

 

Title

 

 

 

Area code

 

Number

 

Extension

 

Tele-

 

-

-

-

 

 

 

 

 

 

Fax

phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail address

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

completed

 

 

 

 

 

 

 

 

Area code

Number

 

 

- -

Month

Day

Year

 

 

 

Thank you for completing your 2012 REPORT OF ORGANIZATION form.

PLEASE PHOTOCOPY THIS FORM FOR YOUR RECORDS AND RETURN THE ORIGINAL.