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SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
2015
ANNUAL
SERVICES
REPORT
U.S. CENSUS BUREAU
FORM
SA-54150A
(09-16-2015)
PENALTY FOR FAILURE TO REPORT
CONTINUE ON PAGE 2
54151014
Due
Date
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YOUR RESPONSE IS REQUIRED
BY LAW. Title 13, United States
Code, Sections 131 and 182
authorizes this collection. Sections
224 and 225 requires businesses
and other organizations that
receive this questionnaire to
answer the questions and return
the report to the U.S. Census
Bureau. By Section 9 of 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
maybeusedonlyforstatistical
purposes. Under the same law,
information that you report cannot
be used for taxation, regulation,
or investigation and are exempt
from release under the Freedom
of Information Act. Further, copies
of your response retained in
your files are immune from legal
process.
Return via Internet:
Return
via
Mail:
To
view
Survey
Results:
https://econhelp.census.gov/sas
Username:
Password:
U.S.
Census
Bureau
1201
East
10th
Street
Jeffersonville,
IN
47132-
0001
census.gov/
services
GENERAL
INSTRUCTIONS
•
Any significant change in this firm's operations should be noted in
17
.
•
For establishments sold or acquired in 2015, report data only for the period the establishments were operated by
this firm.
•
Estimates are acceptable if book figures are not available.
•
Enter "0" where applicable.
•
Do not combine data for two or more detailed lines.
•
•
•
Report data on an accrual basis, except for payroll.
Dollars should be rounded to the nearest dollar.
If a figure is $1,030,280,456 it should be reported as
$
Bil.
Mil.
Thou.
Dol.
Include:
•
Data for all Services establishments (excluding data for Retail, Wholesale, Manufacturing, Mining, and
Construction operations) as defined by the survey coverage in
1
B.
•
Data for auxiliary facilities primarily engaged in supporting services to those establishment(s) such as warehouses,
garages, central administrative offices, and repair services.
1
A.
MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
0035
Yes
No - Enter corrections in the mailing address above