Form Sa-45c - Annual Retail Trade Report - 2005 printable pdf download

OMB No. 0607-0013: Approval Expires 10/31/2008

U.S. DEPARTMENT OF COMMERCE

Economics and Statistics Administration

2005 ANNUAL RETAIL TRADE REPORT

U.S. CENSUS BUREAU

FORM

YOUR RESPONSE IS REQUIRED BY LAW. Title 13, U.S. Code, requires businesses and other organizations

SA-45C

that receive this questionnaire to answer the questions and return the report to the Census Bureau.

(11-7-2005)

DUE

DATE

NOTICE — Your report to the Census

Bureau is confidential by law (Title 13,

U.S. Code). It may be seen only by persons

sworn to uphold the confidentiality of

Census Bureau information and may be

used only for statistical purposes. The law

also provides that copies retained in your

files are immune from legal process.

RETURN COMPLETED FORM TO

U.S. CENSUS BUREAU

National Processing Center

1201 East 10th Street

Jeffersonville, IN 47132-0001

FAX 1–800–447–4613

Any questions call

1–800–772–7851 (press "2") weekdays,

8:30 a.m. to 5:00 p.m. EST

PROMPT RETURN WILL RESULT IN

CONSIDERABLE SAVINGS TO YOUR

GOVERNMENT.

(Please correct any error in name, address, and ZIP Code)

Internet Reporting

Username:

To complete this survey online go to:

Password:

Click on "Census Taker" and use your user name and password to login.

GENERAL INSTRUCTIONS

• Provide data on a calendar year basis for 2005 and 2004, if applicable. If data are not available in this format, indicate in the appropriate items the period covered.

• Always provide book figures. If they are not available, carefully prepared estimates, labeled "Est," are acceptable.

• Any significant change in your firm’s operations should be noted in the "REMARKS" section of this report.

Include

• All domestic/U.S. retail establishments operated by your company and its subsidiaries, except for subsidiaries which report on

separate Annual Retail Trade Reports

• Data for auxiliary facilities of your firm primarily engaged in furnishing supporting services to your retail establishment(s) (such

as warehouses, garages, central administrative offices, and repair services)

• Retail leased departments and concessions operated by this firm in establishments of others (e.g., shoe departments in

department stores or prescription counters in food stores)

• Data for establishment(s) sold or acquired during 2005 and 2004 for the period they were operated by your firm

Exclude

• Data for retail establishments operated by other firms, such as franchises

• Departments and concessions operated by other firms in your retail store(s)

NOTE: A store front is not required for your firm to be classified as retail. For more information on classification,

visit

SPECIAL INSTRUCTIONS

Item 1A – OWNERSHIP OR CONTROL

1. Does another firm own more than 50 percent of the working stock or have the power to

control management and policies of this firm?

Name of owning or controlling company

051

YES

050

Address – Number and street

EI Number (9 digits)

052

City, State, and ZIP Code

–

2. Did your firm experience any organizational change during 2005 or 2004?

YES –

025

Name of company sold to/merged with/acquired

029

⎧

026

Sold to

⎨

Number and street

027

Merged with

028

⎩

Acquired

City, State, and ZIP Code

NO – Go to Item 1B

Month Year

030

031

Date of sale/merger

–

or acquisition

EIN

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U S C E N S U S B U R E A U

Form Sa-45c - Annual Retail Trade Report - 2005

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