Form Sa-42 - Annual Wholesale Trade Report Wholesale Distributors - 2010
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62010 ANNUAL WHOLESALE TRADE REPORT
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
WHOLESALE DISTRIBUTORS
FORM
SA-42
OMB No. 0607-0195: Approval Expires 9/30/2011
(09-24-2010)
DUE DATE
Need help or have questions?
Call 1-800-327-4389, option "3"
(8:30 a.m. - 4:30 p.m. EST, M-F)
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.
(Please correct any errors in name, address, and ZIP Code.)
Return via Internet:
Return via Fax:
Return via Mail:
1-800-447-4613
U.S. CENSUS BUREAU
1201 East 10th Street
Jeffersonville, IN 47132-0001
Username:
If you change your password, please
keep a record for future reference.
Password:
GENERAL INSTRUCTIONS
• This report should cover ALL wholesale distributor establishments in the United States reporting payroll
under the Employer Identification Number (EIN) as referenced in
.
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• Include data for auxiliary facilities operated under this EIN that are primarily engaged in furnishing
supporting services to your wholesale establishments (such as warehouses, garages, central administrative
offices, and repair services).
• For establishments sold or acquired during 2010, report data only for the period the establishments were
operated by your firm.
• Estimates are acceptable if book figures are not available.
SPECIAL INSTRUCTIONS
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FEDERAL EMPLOYER IDENTIFICATION NUMBER
Does your firm currently report payroll under the EIN
EIN
Yes - Go to
on the next page
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No
A. What is the current EIN for this firm?
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Month
Year
B. When did your firm start reporting payroll
under this EIN?
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CONTINUE ON PAGE 2
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