Bil Details

Every nonprofit organization is required to file a Form NC99001, which is the North Carolina Combined Annual Financial Report. This report includes your organization's financial statements, as well as other relevant information. The deadline for filing this form is March 15th each year. If you're not sure how to complete the form or need help preparing your financial statements, consult with an accountant or another financial specialist. Failing to submit your Form NC99001 on time could result in penalties from the state of North Carolina.

This figure contains information about form nc99001. You might like to read it before typing in the form.

QuestionAnswer
Form NameForm Nc99001
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other nameslicensor, Bil, form nc 99001, nc 99001

Form Preview Example

99001018

U.S. DEPARTMENT OF COMMERCE

2013 REPORT OF ORGANIZATION

 

Economics and Statistics Administration

 

U.S. CENSUS BUREAU

 

 

 

FORM

 

 

 

NC-99001 (09-19-2013)

 

OMB No. 0607-0444: Approval Expires 9/30/2016

 

 

 

 

 

 

 

 

NC-99001

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COPY

 

Need help or have questions about

ATIONAL

 

REPORT

 

INFORM

 

 

 

filling out this form?

 

 

 

 

 

 

Visit econhelp.census.gov/cos

 

 

 

 

 

 

- OR -

 

 

 

 

 

 

Write to the address below. Include

 

 

 

 

 

 

your 11-digit Census File Number (CFN)

 

 

 

 

 

 

printed in the mailing address.

 

 

 

 

 

 

Mail your completed form to:

 

 

 

 

 

 

U.S. CENSUS BUREAU

 

 

TO

 

 

1201 East 10th Street

 

 

 

 

 

 

Jeffersonville, IN 47132-0001

 

 

(Please correct any errors in name and address, including ZIP Code.)

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.

The purpose of this form is to obtain an accurate and up-to-date list of your establishments, i.e., separate business locations that were in operation or new plant(s) under construction during part or all of 2013. This list should include establishments of your company and each of its subsidiaries. To make it easier for you to complete this report, we have prelisted information in 5 A that you have previously provided to the U.S. Census Bureau. Please list all other establishments of your organization on 5 B. Do not duplicate establishments already prelisted in 5 A.

 

Be sure to include items

1 through 4 when returning your completed report form. Before completing this form, please read the enclosed

 

 

definitions and instructions.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Use blue or black ballpoint pen.

• Please center numbers in

 

Examples:

 

 

• Do not use pencil or felt-tip pen.

their respective boxes.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Place an "X" inside the box.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Do not put slashes through 0 or 7.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 COMPANY WNERSHIP OR CON ROL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. DOMESTIC

WNERSHIP OR CON ROL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOT

 

Number (EIN) of

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

owning or controlling

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

company (9 digits)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0082

 

Home office address (Number and street)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

99001026

Form NC-99001 (09-19-2013)

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of foreign beneficial owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6103

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COPY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6104

 

Home office address

(Number

and

 

street)

 

 

 

 

 

 

 

 

 

 

REPORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6105

 

City

 

 

 

 

 

 

 

 

 

6106

Country

 

 

 

INFORMATIONAL

 

 

 

 

 

 

 

 

 

 

 

 

What was the percent

6111

 

 

10% - 24%

6113

 

 

50%

 

6115

 

 

100%

 

 

ownership (direct and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

indirect)? (Mark "X"

 

 

 

25% - 49%

 

 

 

51% - 99%

 

 

 

 

 

 

 

 

only ONE box.)

6112

 

 

6114

 

 

 

 

 

 

 

 

 

C. FOREIGN AFFILIATES

 

Does this company alone, or with its domestic affiliates, own 10 percent or more of the voting stock of an

 

 

 

 

 

 

 

 

TO

 

 

incorporated foreign business enterprise, or an equivalent interest in an unincorporated business enterprise,

 

 

including ownership of real estate?

 

 

 

 

6126

 

 

Yes

 

 

 

 

 

6127

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 RESEARCH AND DEVELOPMENT

USE

 

 

 

 

 

 

 

A. Did your company perform or fund research and development (R&D) in 2013?

 

 

6129

 

 

Yes - Go to line B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6130

 

 

No - Go to 3 on the next page

 

 

 

 

 

 

 

 

 

 

 

 

NOT

 

 

 

 

B. What were your company's worldwide expenses for research and development (R&D) in 2013?

 

 

6132

 

 

Less than $3 million

 

 

 

 

6133

 

 

$3 million or more

 

 

 

 

DO

 

 

 

 

99001034

Form NC-99001 (09-19-2013)

 

 

 

Dollar figures should be rounded to

 

 

Mark "X"

 

2013

 

 

 

 

 

 

 

if None

$ Bil.

Mil.

Thou.

 

 

 

HOW TO

thousands of dollars.

 

 

 

 

 

 

2

0 3 6

 

 

 

 

 

 

 

 

 

 

 

 

 

REPORT

If a figure is $2,035,628.79:

Report

 

 

 

 

 

 

 

 

DOLLAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIGURES

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

Report

 

 

 

 

 

EXAMPLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 COMPANY 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 2013? (Permanent workforce excludes temporary staffing from a staffing service and contractors.)

 

0244

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0245

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. OPERATING REVENUES AND NET SALES

 

 

 

 

1.

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

 

 

 

and the District of Columbia) in 2013.

COPY

 

 

 

 

 

 

 

 

Include:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sales of goods and services to foreign firms.

 

 

 

 

 

 

Revenues of discontinued operations.

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

REPORT

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATIONAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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.

 

 

 

 

USE

Mark "X"

 

2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

if None

$ Bil.

Mil.

Thou.

 

 

 

 

 

 

TO

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Did your company have foreign subsidiaries in 2013?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9760

 

 

Yes - Go to line 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9761

 

 

No - Go to line 1 on the next page

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 line 1 on the next page

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DO

 

No - Go to line 4

 

 

 

 

9756

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mark "X"

 

2013

 

 

 

 

 

 

 

 

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 (09-19-2013)

99001042

3 COMPANY ACTIVITIES - Continued

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

1. Did your company's U.S. operations earn revenue in 2013 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:

 

 

 

 

 

COPY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sales involving the transfer of ownership rights.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sales of and products sold with end-use licenses.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Franchise fees.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9701

 

 

 

 

Yes - Go to line 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No - Go to line 1 on the next page

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9702

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mark "X"

 

 

2013

 

 

 

 

INFORMATIONAL

 

if None

$ Bil.

 

Mil.

Thou.

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Revenues from royalties and license fees in 2013 for

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

rights to use intellectual property

. . .

9703

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Revenues from your company's U.S. operations, as

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

reported in line 2, for the following types of royalties

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and license fees in 2013:

 

 

 

 

Mark "X"

 

 

2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

if None

$ Bil.

 

Mil.

Thou.

 

 

 

 

a. Technological or industrial processes (Include patents,

 

 

 

 

 

 

 

 

 

 

 

REPORT

 

 

 

 

 

 

trade secrets, and proprietary technology. Exclude

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

computer software.) . . . . . . . . . . . . . . . . . . 9704

 

 

 

 

 

 

 

 

 

 

 

 

 

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

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

musical and other artistic works. Exclude computer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

software.) . . . . . . . . . . . . . . . . . . . . . . . 9705

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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.) . . . . . . . . . . . . . . . . 9706

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. ther revenues from royaltiesUSEand license fees for

 

 

 

 

 

 

 

 

 

 

 

 

 

 

rights to use intellectual property - Specify

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9752

 

 

 

 

 

 

9751

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e. TOTAL revenues from royalties and license fees in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

for rights to use intellectual property (Sum of lines 3a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

through 3d should equal line 2.)

. . .

9708

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTINUE WITH 3

ON PAGE 5

 

 

 

 

 

 

 

 

 

99001059

Form NC-99001 (09-19-2013)

3COMPANY ACTIVITIES - Continued

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

In 2013, 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

 

COPY

 

 

 

 

 

 

 

 

 

 

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

proprietary technology?

 

 

REPORT

 

 

 

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.

 

 

9713

 

 

 

Less than 25%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATIONAL

 

 

9714

 

25% - 49%

 

 

 

9715

 

 

 

 

 

 

 

 

50% - 74%

 

 

 

9716

 

 

 

 

TO

 

 

 

 

 

 

 

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

9719No - Go to 4 on the nextUSEpage

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

 

 

No

9721

 

 

 

NOT

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)?

DO

 

Yes

 

9724

 

 

 

No

9725

 

 

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

9726

 

Less than 25%

 

 

 

25% - 49%

9727

 

 

9728

 

50% - 74%

 

 

 

75% - 99%

9729

 

 

9730

 

100%

 

 

 

 

 

 

 

 

Form NC-99001 (09-19-2013)

99001067

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

$$CENSUS_REMARKS$$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COPY

 

 

 

INFORMATIONALName of person to contact regarding this reportTitle

REPORT

 

 

 

 

 

 

 

 

 

 

 

USE

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4 CERTI ICATI N - 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

 

 

 

o - Enter time period covered

 

 

FROM

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Area code

 

Number

 

 

 

Extension

 

 

 

 

Area code

 

Number

 

 

 

Tele-

DO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

-

 

-

 

 

 

 

Fax

 

-

-

 

 

 

 

phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail address

Month

Day

Year

 

Date

 

 

 

completed

 

 

Thank you for completing your 2013 REPORT OF ORGANIZATION form.

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

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