Creator:Census of Business
Date Created:
Place Created:
Keywords:1972 Census of Business,business information
Context:form from the 1972 Census of Business
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PENALTY FOR FAILURE TO REPORT
DUE DATE: FEBRUARY 15, 1973
Form Approved: O.M.B. No. 41-S71116
form CB-73C U-s- department of commerce (7303) social and economic statistics administration BUREAU OF THE CENSUS 1972 CENSUS OF BUSINESS COMMERCIAL RESEARCH, DEVELOPMENT AND TESTING LABORATORIES	NOTICE - Response to this inquiry is required by law (Title 13, U.S. Code). By the same law, your report to the Census Bureau is confidential. It may be seen only by sworn Census employees and may be used only for statistical purposes. The law also provides that copies retained in your files are immune from legal process.
	In correspondence pertaining to this report. Employer Identification please refer to this Census File Number Number CB-73C (7303) aiioT-i^yys ; ^ ei si-0-2.^7^/ 73?/<rt> io D0)Pt> 73 c. H-TZACY Hah A/// KEEP THIS COPY FOR YOUR FILES
01 . . ... _k BUREAU OF THE CENSUS Please complete this * 1201 East Tenth street form and RETURN TO f Jeffersonville, Indiana 47130	
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■	Please answer the questions on this form and return it as soon as you can, but not later than February 15, 1973. If filing by the due date causes an undue burden, a request for extension should be sent to the address shown above. ■	This report should cover the calendar year 1972. If book figures are not available, carefully prepared estimates are acceptable. ■	If the first digit In your Census File Number (imprinted in the address box) Is a zero (0) and you operated more than one establishment (location) under the same Employer Identification Number In 1972, consolidate data for all such locations. In item 1, enter the location of your MAIN establishment. In item 6d, provide information separately for each location, INCLUDING your main establishment.	PLEASE COMPLETE AND RETURN THE F.ORM WHICH SHOWS YOUR NAME AND ADDRESS ^A-iXt pt/bDj Please correct errors in name, address and ZIP code. ENTER street and number if not shown.
	Census use only 0,0 01' <"3
Item 1 - PHYSICAL LOCATION OF BUSINESS ESTABLISHMENT PHYSICAL LOCATION (Enter if different from address shown above)
■ The purpose of this inquiry is to determine the place (city, county, etc.) where your business is actually located (which may differ from the mailing address) so that data can be tabulated in the correct geographic area.
a. Is this business establishment PHYSICALLY located at the address shown in the address box of this form?
■ If location cannot be described by street name and number, give as much information as possible such as name of shopping center, street intersection, highway number or distance from nearest town, etc.
Street name and number
□ YES - Answer b and c
NO - Enter PHYSICAL location Also answer b and c
b. Is this business establishment located WITHIN the LEGAL boundaries of the city, village, etc., which you indicate is its PHYSICAL location?
Place (City or village, etc.)
c. In what county is this business establishment PHYSICALLY located?
County
ZIP code
Item 2 - EMPLOYER IDENTIFICATION NUMBER
a. Is the Employer Identification (E.I.) Number printed in the upper right of the address box the SAME as that used for this establishment on your latest 1972 Employer's Quarterly Federal Tax Return, Treasury Form 941?
(9 digits)
Enter current E.I. number
(9 digits)
b. Did this establishment also use any other Employer Identification (E.I.) Number during 1972?
-Enter E.I. number or numbers
fc Item 3 - PERIOD OPERATED IN 1972
a. Was this establishment in business at the end of 1972?
■ If establishment was inactive during December 1972 due to seasonal or part-time operations, answer "Yes" unless it was not owned by you at the end of the year.
b. How many months during 1972 did you own this establishment?
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Dollar figures should be reported as illustrated. Please be careful to enter your figures in the correct columns. See example below:
EXAMPLE: If figure is $1,125,62828
PREFERRED method Acceptable method
Millions (000)
Thousands (000)
Dollars (000)
fc Item 4 - DOLLAR VOLUME OF BUSINESS INCLUDE only receipts from customers, excise taxes and sales taxes, total charges for services or for the use of facilities,and merchandise sold,whether or not payment was received in 1972. DO NOT INCLUDE income from commissions, vending machine operations, real estate rental, interest, sale of real estate, investments, contributions, or other non-operating income.	Receipts from services and sale of merchandise in 1972			
		Mil.	Thou.	Dol.
		040	7	
m Item 5 - PAYROLL AND EMPLOYMENT Lines a and b - Report the gross earnings paid in calendar year to employees prior to such deductions as employee's Social Security contributions, withholding taxes, group insurance premiums, union dues, and savings bonds. Include in gross earnings all wages, salaries, commissions, dismissal pay, paid bonuses, vacation and sick-leave pay, and the cash equivalent of compensation paid in kind. If a corporation, include salaries of officers; if an unincorporated concern, exclude payments to proprietors or partners. Line c - Be sure to include all persons on paid sick leave, paid holidays, and paid vacation during the pay period indicated, as well as those actually working. If a corporation, include officers; if an unincorporated concern, exclude proprietor or partners.	a. Total ANNUAL payroll in 1972 before deductions	Mil.	Thou.	Dol.
		060		toi
	b. Payroll for the FIRST QUARTER of 1972	061		0
	c. Number of paid employees for the pay period including March 12, 1972	Number 062 nAjyvJL—		
Item 6 - COMPANY ORGANIZATION
a. Is the first digit of your Census File Number
(imprinted in the address box) a zero (0)?
b. Is this company owned or controlled by another company?	i DYES 2QN0	Enter the company name and address (street name and number, city, State, ZIP code) and E.I. number. If more space is needed to list companies, use the "Remarks" section.											
		Owning or controlling company											
			E.I.No. (9 digits)			-							
c. Does this company own or control any other company or companies?	n 1	□ YES 2	□ NO	Owned or controlled company											
			E.I.No. (9 digits)			-							
d. YOUR BUSINESS LOCATIONS
(1) At how many locations did you operate this business during 1972?
(Include all selling or service locations and any other facilities such as warehouses, administrative offices, etc.).............
If more than one location, complete (2), below.
(2) List each location (including main location). If more space is needed, attach separate sheet providing same information required below.									
Census use on ly	Physical address of business location (Street name and number, city, State, ZIP code) (a)	Census use on ly	Kind of business at this location (b)	Sales and receipts (c)			Annual payroll (d)		Number of employees * (e)
				Mil.	Thou.	Dol.	Mil.	Thou.' Dol. |	
070	1.	071		072			073	1 1 1	074
070	2.	071		072			073	1 1 1 I	074
070	3.	071		072			073	1 1 1	074
070	4.	071		072			073	1 1 1	074
fc Item 7 - KIND OF BUSINESS
Mark ONE box only. If this establishment was engaged in more than one of the kinds of activities listed, mark the one which accounted for the MAJOR portion of your receipts in 1972.
Research and development,and testing laboratories
t 80
Other services
Physical research and development laboratory, COMMERCIAL................................... □ 739111
Physical research and development laboratory, NONPROFIT..................................... □ 739121
Commercial testing laboratory (physical or product testing)................................ □ 739701
Testing service, educational or personnel................. □ 739212
Nonprofit educational and scientific research agencies, except physical research (Describe)......... [
Computer and related services
Development of computer programs or systems ("software")......................................... □ 737201
Development of computer and related technology (hardware)......................................... [~| 739112
Other computer related services (Describe)............... Q
Systems design, operations research (NOT primarily computer related)...................
Economic research.......................................
Opinion research..........................................
Market research...........................................
Professional engineering, consulting and design
Other (Describe) ..........................................
Item 8-ANALYSIS OF RECEIPTS
You may report receipts either in dollar figures (see example on page 1) or as a percent (in whole percents) of the total (see example).
Please do NOT combine data for two or more detail lines. Estimates are acceptable.
Report in item 8 ALL receipts from customers.
Include receipts for work which you have subcontracted to others. If you do not have separate book records for these figures, enter your best estimate for each line.
Line a - Receipts from research and development on computer and data processing equipment (hardware) should be included here.
Line b (1) - Include receipts from all types of computer and data processing "software," e.g., systems research or engineering, computer operations research, programming, systems design or analysis.
Line b (2) - Include receipts from ALL types of business management and consulting services, EXCEPT computer and data processing related services; e.g., market research, general operations research (except computer related), economic research, and management "engineering."
EXAMPLE FOR
REPORTING PERCENTS
If figure is 38.76% of total receipts:
Report whole percents — Not acceptable-
a. Physical or "laboratory" research and development (include receipts for work which you have subcontracted to others)
(1) Federal government contracts and subcontracts
'(2) All otfier laboratory (physical) research and development
b. "Research," except physical research (1) Computer "software" and related services (programming, systems design or analysis, systems engineering, computer related operations research)
(2) All other (general operations research, economic research, management "engineering")
c. Engineering services, consulting design (professional)
, and
d. Commercial testing (physical or product testing)
e. All other receipts (Describe in "Remarks" section if
this is largest source of receipts.)
f. TOTAL RECEIPTS
(Sum of lines a through e should equal item 4.)-
g. TOTAL RECEIPTS, if any, from investments, contributions, and other non-operating income (not included in item 4)
fc Item 9-ANALYSIS OF PERSONNEL
(Number of paid employees for the pay period including March 12, 1972)
b. Other paid employees
c. TOTAL PAID EMPLOYEES (Sum of lines a and b should equal item 5c.)
Item 10 - TYPE OF ESTABLISHMENT
Is the income of this establishment exempt from payment of Federal Income Taxes under Title 26, Section 501, of the Internal Revenue Code?
Remarks (This space may be used for any explanations that may be helpful in understanding your report.)
Item 11
CERTIFICATION
Name of person to contact regarding this report