Form Sbo-2 - Survey Of Business Owners And Self-Employed Persons - 2012 Page 2

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2
Please answer the following questions for the person(s)
5
For the person(s) owning the largest percentage(s)
or business named in the mailing label. Answer even
in this business as of December 31, 2012, please list
if the business has been sold, reorganized, or ceased
the percentage owned by each person and his or her
operation.
position title.
You may use estimates if this form requests information
Do not report percentages owned by parent
companies, estates, trusts, or other entities.
that is not available in your business records.
If more than 4 people owned this business equally,
2
On December 31, 2012, how many people owned this
select any 4 people.
business?
Round percentages to whole numbers. For example,
Include yourself if you were a sole proprietor or
report 1/3 ownership as 33.0%.
worked as a consultant or an independent
contractor.
Percentage Owned
Position Title
(Example: sole owner, co-owner,
(Estimates are
shareholder, president,
Do not combine two or more owners to create one
acceptable)
vice president, etc.)
owner.
0
%
Count spouses and partners as separate owners.
.
Owner 1:
1 person
0
%
.
Owner 2:
Go to
5
.
2 – 4 people
5 – 10 people
0
%
.
Owner 3:
11 or more people
Business is owned by a
%
0
.
Go to
.
3
Owner 4:
parent company, estate,
trust, or other entity.
NOTE: Do not list more than 4 owners.
Don’t know
6
A.
In 2012, did two or more members of one
3
On December 31, 2012, was this business owned by
family own the majority of this business?
a government or tribal entity?
(Family refers to spouses, parents/guardians,
children, siblings, or close relatives.)
Yes
No
Yes
No
Go to
.
7
4
On December 31, 2012, did any one person own
B. (If Yes) Did spouses jointly own this business?
10% or more of this business?
Yes
No
Go to
.
7
Yes
C. (If Yes) Was this business operated equally by both
No –
Go to
on page 4 ONLY if no person
23
spouses?
owned 10% or more of this business.
Yes, equally operated by spouses
No, primarily operated by Owner 1
No, primarily operated by Owner 2
FORM SBO-2

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