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Get Qfr 300 2021-2024

OMB No. 0607-0432 Approval Expires 06/30/2015 FORM QFR-300 S 7-9-2012 NOTICE 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 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. U*S* DEPARTMENT OF COMMERCE Economics and Statistics Administration U*S* CENSUS BUREAU Please correct any errors in name address and ZIP Code QUARTERLY FINANCIAL REPORT SERVICES SURVEY Please read the accompanying instructions before answering the questions. NEED HELP Use Secure Messaging Center at Internet Website econhelp*census. gov/qfr/contactus Call 1 800 272 4250 between 8 a*m* and 5 p*m* Eastern time Monday through Friday Note Audited figures are not required* Estimates are acceptable for line items where actual data are not available. Submit VIA Internet Reporting at or Mail to U*S* CENSUS BUREAU 1201 East 10th Street Jeffersonville IN 47132-0001 or FAX to 1 800 447 4613 INTERNET REPORTING You may complete this survey online at Username Use your firm s unique username and original password. Password Person to contact regarding this report Print or type Name and title Area code Telephone Extension Number e-mail address Fax ITEMS 2 THROUGH 7 REFER TO THE CORPORATION NAMED IN THE ADDRESS BOX Month a* Annual closing date of this corporation Day b. Federal Employer Identification Number FEIN Corporation status Mark X only ONE box. Insert discontinued or merged date if corporation is no longer operating. a* Active b. Discontinued Year c* Merged Is this corporation owned more than 50 percent by another corporation Mark X only ONE box. a* No Name b. Yes Provide the name FEIN and address assigned to this corporation below. FEIN Address Does this corporation own more than 50 percent of any other corporation Mark X only ONE box. a* Yes STOP Read Consolidation Rules below. b. No Proceed to page 2. is the total number of What than 50 percent by thisdomestic and foreign corporations directly or indirectly all tiers owned more corporation 7 a* After reviewing the Consolidation Rules below how many corporations are consolidated in this report b. How many corporations are not consolidated in this report CONSOLIDATION RULES This is a domestic-only consolidation* Nonconsolidated subsidiaries must be reported using either the equity or cost method of accounting. Fully consolidate the operations of every majority-owned domestic subsidiary including majorityowned subsidiaries of these subsidiaries that are taxable under the U*S* Internal Revenue Code. Consolidated subsidiaries should include 1120S corporations. EXCEPTION Do not fully consolidate domestic subsidiaries that are primarily engaged in foreign operations banking finance or insurance as defined in the North American Industry Classification System NAICS Sector 52 United States 2007.

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