Form Nlrb 5081 PDF Details

In the world of business and labor relations, the NLRB-5081 form holds a pivotal role. Designed by the National Labor Relations Board (NLRB), this form serves as a questionnaire on commerce information, acting as a vital instrument in the processing of representation and unfair labor practice proceedings. Each section of the NLRB-5081 is carefully crafted to gather specific details about a company’s legal standing, operations, and financial transactions. It requires businesses to disclose information ranging from the type of entity and principal business activities to intricate financial data concerning sales and purchases, both within and outside the state. The form also probes into aspects like membership in associations that engage in collective bargaining, participation in national defense work, and detailed contact information of the company representative best qualified to provide further insights into its operations. This comprehensive approach ensures that the NLRB is equipped with all necessary information to address charges or petitions effectively. By mandating such detailed submissions, the form underscores the importance of transparency and accuracy in reporting, striving to create a fair and informed adjudicative process. Moreover, the requirement for this documentation to be submitted to the assigned Board Agent or the appropriate Regional Office, depending on where the pending charges or petitions are located, illustrates the structured and procedural approach adopted by the NLRB in handling labor-related matters.

QuestionAnswer
Form NameForm Nlrb 5081
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesquestionnaire business commerce, information indicate commerce pdf, questionnaire form did, information form nlrb

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PLEASE REVIEW THE FOLLOWING

IMPORTANT INFORMATION BEFORE FILLING OUT A QUESTIONNAIRE ON COMMERCE INFORMATION FORM!

∙Please call the Board Agent to whom the pending charge or petition is assigned for assistance in completing the questionnaire on commerce information form. The Agent will be happy to answer your questions about the information requested on the form. This form should be completed by your representative best qualified to give information concerning the legal status, revenues, as well as, operations of your business.

∙In Questions 3, 4, 5 and 6, please provide all information requested including applicable zip codes and suite numbers.

∙Under Questions 10A through F, check the appropriate box for question. If you are required to indicate a dollar amount in Questions 10A through F, do so in the box to the immediate right of the question. If the information requested under Questions 10 through E is not applicable to your business, state the same in the box to the immediate right of the question.

∙After completing the questionnaire on commerce information form, be sure that the authorized representative completing the questionnaire on commerce signs and dates the questionnaire and mails, faxes or hand delivers the completed questionnaire to the appropriate Regional Office.

∙The information provided in the questionnaire on commerce information should be based on your business records reflecting the total yearly amount of business done by your enterprise or the yearly amount of your sales or of your purchases.

∙Be sure to include the telephone number of the party best qualified to provide further information concerning the operations of your business.

∙The completed questionnaire on commerce information should be submitted to the Board Agent to whom the pending charge or petition is assigned. If charges or petitions are pending in two or more Regions, a Board Agent to whom any of the pending charge or petition is assigned will be happy to assist you in locating the appropriate Regional Office in which to file the questionnaire on commerce

information.

INTERNET

NATIONAL LABOR RELATIONS BOARD

FORM EXEMPT

FORM NLRB-5081

UNDER 44

QUESTIONNAIRE ON COMMERCE INFORMATION

(2-08)

U.S.C. 3512

Please read carefully. Answer all applicable items and return to the Regional Office. If additional space is required, use plain bond paper and identify item number.

CASE NAME

CASE NUMBER

 

1. TYPE OF BUSINESS

 

 

 

 

 

 

 

 

[

] CORPORATION

 

[ ] PARTNERSHIP

 

[ ] SOLE PROPRIETORSHIP

 

 

 

 

 

 

 

 

 

2. CLASSIFICATION WHICH DESCRIBES YOUR BUSINESS

 

 

 

 

 

 

[

] WHOLESALING

[

] NEWSPAPER

[

] OFFICE OF INDUSTRIAL BUILDING

[

] RETAIL

 

 

[

] HOSPITAL

[

] HOTEL - MOTEL

[

] MANUFACTURING/PROCESSING

[

] SERVICE ORGANIZATION

 

 

[

] TRUCKING

[

] PUBLIC UTILITY

[

] BROADCASTING STATION

[

] NURSING HOME

 

 

[

] TRANSIT SYSTEM

[

] BUILDING AND CONSTUCTION

[

] OTHER (Describe)

 

 

 

 

 

 

 

 

 

 

 

 

 

3.EXACT LEGAL TITLE OF FIRM

4.IF A CORPORATION

A. INCORPORATED IN

 

B. NAME(S) AND ADDRESS(ES) OF PARENT, SUBSIDIARY, OR RELATED CORPORATION, IF ANY, AND DESCRIBE RELATIONSHIP.

 

STATE OF:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.IF A PARTNERSHIP

FULL NAME AND COMPLETE ADDRESS OF ALL PARTNERS.

6.IF A PROPRIETORSHIP

FULL NAME AND COMPLETE ADDRESS OF PROPRIETOR.

7.BRIEFLY DESCRIBE THE NATURE OF YOUR BUSINESS (General products handled or manfactured, or nature of services performed).

8. PRINCIPAL PLACE OF BUSINESS LOCATED AT:

BRANCH(ES) LOCATED AT:

9. NUMBER OF PERSONNEL PRESENTLY EMPLOYED BY YOUR FIRM

A. TOTAL

 

 

B. AT THE ADDRESS INVOLVED IN THIS PROCEEDING.

 

 

 

 

 

 

 

 

 

 

 

 

10. DURING THE PAST [

] CALENDAR, [ ] FISCAL YEAR (If Fiscal Year indicate dates) OR [ ] LAST 12 MONTHS (Check appropriate box):

 

A. DID GROSS REVENUE FROM SALES OR PERFORMANCE OF SERVICES DIRECTLY TO CUSTOMERS OUTSIDE THE STATE

 

EXCEED $50,000

[

] YES

[

] NO

IF LESS THAN $50,000 INDICATE AMOUNT

$

B.

DID GROSS AMOUNT OF PURCHASES OF MATERIALS OR SERVICES DIRECTLY FROM OUTSIDE THE STATE

 

 

EXCEED $50,000

[

] YES

[

] NO

IF LESS THAN $50,000 INDICATE AMOUNT

$

C.DID GROSS REVENUE FROM YOUR SALES OR PERFORMANCE OF SERVICES EQUAL OR EXCEED $50,000 TO FIRMS WHICH DIRECTLY MADE SALES TO CUSTOMERS OUTSIDE THE STATE AND/OR TO CUSTOMERS WHICH MADE

PURCHASES FROM DIRECTLY OUTSIDE THE STATE [ ]YES

[ ]NO

IF LESS THAN $50,000 INDICATE AMOUNT

$

D.IF THE ANSWER TO 10(C) IS NO, DID GROSS REVENUE FROM SALES OR PERFORMANCE OF SERVICES EQUAL OR EXCEED $50,000 TO PUBLIC UTILITIES, TRANSIT SYSTEMS, NEWSPAPERS, HEALTH CARE INSTITUTIONS, BROADCASTING STATIONS,

COMMERCIAL BUILDINGS, EDUCATIONAL INSTITUTIONS AND/OR RETAIL CONCERNS [ ] YES

[ ] NO

IF LESS THAN$50,000 INDICATE AMOUNT

$

E.DID GROSS AMOUNT OF YOUR PURCHASES EQUAL OR EXCEED $50,000 FROM FIRMS WHICH IN TURN, PURCHASED THOSE

GOODS DIRECTLY FROM OUTSIDE THE STATE [ ] YES

[ ] NO

IF LESS THAN $50,000 INDICATE AMOUNT

$

F.GROSS REVENUE FROM ALL SALES OR PERFORMANCE OF SERVICES (Check largest amount which firm equaled or exceeded):

[

]$100,000

[ ]$200,000 [ ]$250,000 [ ]$500,000 [ ]$1,000,000 IF LESS THAN $100,000 INDICATE AMOUNT

$

 

 

 

11. ARE YOU A MEMBER OF, OR PARTICIPATE IN, AN ASSOCIATION OR OTHER EMPLOYER GROUP THAT ENGAGES IN COLLECTIVE BARGAINING?

 

[

] YES

[

] NO

(If yes, give Name and Address of association or group).

 

 

 

 

 

 

 

 

 

 

12. DID FIRM PERFORM NATIONAL DEFENSE WORK DURING THE PERIOD INDICATED IN 10 ABOVE?

[ ] YES

[ ] NO

 

(If Yes, amount of dollar volume and name(s) and address(es) for whom work was performed).

 

 

 

 

 

 

 

 

 

 

$

13. PROVIDE NAME & TITLE OF YOUR REPRESENTATIVE BEST QUALIFIED TO GIVE FURTHER INFORMATION CONCERNING THE OPERATIONS OF YOUR BUSINESS

NAME

 

 

TITLE

 

TELEPHONE NUMBER

 

 

 

 

 

 

 

 

SIGNATURE OR AUTHORIZED REPRESENTATIVE COMPLETING THIS QUESTIONNAIRE

 

 

 

NAME AND TITLE (Type or Print)

 

 

SIGNATURE

 

DATE

 

 

 

 

 

 

 

 

PRIVACY ACT STATEMENT

Solicitation of the information on this form is authorized by the National Labor Relations Act (NLRA), 29 U.S.C. § 151 et seq. The principal use of the information is to assist the National Labor Relations Board (NLRB) in processing representation and/or unfair labor practice proceedings and related proceedings or litigation. The routine uses for the information are fully set forth in the Federal Register, 71 Fed. Reg. 74942-43 (Dec. 13, 2006). The NLRB will further explain these uses upon request. Disclosure of this information to the NLRB is voluntary. However, failure to supply the information may cause the NLRB to refuse to process any further a representation or unfair labor practice case, or may cause the NLRB to issue you a subpoena and seek enforcement of the subpoena in federal court.

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