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99001018

U.S. DEPARTMENT OF COMMERCE	2013 REPORT OF ORGANIZATION
Economics and Statistics Administration	2013 REPORT OF ORGANIZATION
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	ATIONAL
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

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)

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
			entity

		Name of foreign beneficial owner
	6103	Name of foreign beneficial owner


												COPY




	6104	Home office address		(Number		and	street)							REPORT
	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		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
				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
2 RESEARCH AND DEVELOPMENT
A. Did your company perform or fund research and development (R&D) in 2013?
6129	Yes - Go to line B
6129	Yes - Go to line B

6130	No - Go to 3 on the next page
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.

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
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
	and the District of Columbia) in 2013.
	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.

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

No - Go to line 4

9756

Mark "X"

2013

if None

$ Bil.

Mil.

Thou.

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.

Revenues from royalties and license fees in 2013 for

rights to use intellectual property

. . .

9703

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

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

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
					COPY

2. Provide contract manufacturing services to other companies incorporating their patents, trade secrets, or
proprietary technology?						REPORT
proprietary technology?
9711		Yes
9711		Yes
		No - Go to line 3
9712
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%
9713			Less than 25%

INFORMATIONAL
9714	25% - 49%
9715
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
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

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

Area code

Number

Extension

Area code

Number

Tele-

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.

Question	Answer
Form Name	Form Nc99001
Form Length	6 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 30 sec
Other names	licensor, Bil, form nc 99001, nc 99001

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