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Item 11-OWNERSHIP, CONTROL, AND LOCATIONS OF

OPERATION

Item 9 - CHARACTERISTICS OF OPERATION
Mark (X) the ONE box which best describes the business
covered by this report.

594

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Own the lodging business

1

by another

company?

097 YES

Supply management AND nonmanagement personnel, but do not
own the lodging business

2NO

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El Number (9 digits)

ENTER OWNED OR CONTROLLED COMPANY
NAME, ADDRESS, AND ZIP CODE

413

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Item 10 NUMBER AND TYPE OF ACCOMMODATIONS
DECEMBER 31, 1987

The number of guestrooms, units, or quarters consists of the
number which can be rented as single units. Suites of rooms
which cannot be subdivided should be counted as a single unit.

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1987 Mil.

Thou.

Dol.

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b. Were guestroom or unit rental receipts (item 8a(1) above) primarily (more than one-half) from transient guests? Item 12

REMARKS ·

2

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Please use this space for any explanations that may be essential in understanding your reported data.

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Mo.❘ Year

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Item 13

CERTIFICATION

This report is substantially accurate and has been prepared in accordance with instructions. Name of person to contact regarding this report

Print or type

FROM:

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Period covered by this report

Extension

Signature of authorized person

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Please correct errors in name, address, and ZIP Code. ENTER street and number if not shown.
Instructions Please read

The purpose of this questionnaire is to collect information about the sex, race, and ethnic background of self-employed persons and business owners in the United States for the year 1987. The business owner(s) must complete this questionnaire even if the business has since been sold, reorganized, or discontinued. (Only the primary business owner should complete this form, unless a husband and wife own the business EQUALLY.) Data provided by you will be used only for statistical purposes and will be kept strictly confidential. The race and ethnic categories described in items 3 and 4 have been established by the Office of Management and Budget to assure uniform reporting to all Federal agencies. ITEM 1 FORM OF BUSINESS - Mark (X) the ONE box which best describes your type of business or activity.

01 INDIVIDUAL PROPRIETORSHIP - An unincorporated business owned by an individual. The business may be the only occupation
of an individual or the secondary activity of an individual who works for someone else.

02 SELF-EMPLOYED

Persons in professions such as lawyers or physicians, direct salespersons (party or door-to-door salespersons),
other independent commission workers (insurance and real estate salespersons, etc.), independent contractors (truckers, private duty
nurses, etc.), and investors. This includes full-time and part-time activities.

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Complete item 3 below and item 4 on reverse.
Complete item 3 below for the primary business owner.
Complete item 3 below.

ITEM 3 PRIMARY OR 1ST LISTED BUSINESS OWNER

Complete this item for the primary (or only) business owner or self-employed person listed on the address label. If the business is owned EQUALLY by husband and wife, complete this item for the 1st person listed.

SEX - Mark (X) ONE box.

01 Male
02 Female

b. RACE - Mark (X) ONE box. If you are of mixed racial background, choose the category with which you most closely identify.

WHITE - A person having origins (ancestry) in any of the
original peoples of Europe, North Africa, or the Middle East.
BLACK OR NEGRO - A person having origins (ancestry)
in any of the Black racial groups of Africa or the Caribbean.

ASIAN OR PACIFIC ISLANDER - A person having origins
in any of the original peoples of the Far East, Southeast Asia,
the Indian subcontinent, or the Pacific Islands.

INDIAN (AMER.) OR ALASKA NATIVE – A person having
origins (ancestry) in any of the original peoples of North America,
and who maintains cultural identification through tribal affiliation
or community recognition.

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SPANISH/HISPANIC BACKGROUND OR ORIGIN Mark (X) ONE box. Spanish/Hispanic refers to a person of Mexican, Cuban, Puerto Rican,
Hispanic Latin American, or other Spanish/Hispanic origin or culture, regardless of race.

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ITEM 4 2ND LISTED BUSINESS OWNER – Complete this item for the 2nd person listed on the address label if the business is owned EQUALLY by husband and wife.

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b. RACE - Mark (X) ONE box. If you are of mixed racial background, choose the category with which you most closely identify.

WHITE - A person having origins (ancestry) in any of the original peoples of Europe, North Africa, or the Middle East.

BLACK OR NEGRO - A person having origins (ancestry) in any of the Black racial groups of Africa or the Caribbean.

ASIAN OR PACIFIC ISLANDER - A person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands.

INDIAN (AMER.) OR ALASKA NATIVE – A person having origins (ancestry) in any of the original peoples of North America, and who maintains cultural identification through tribal affiliation or community recognition.

OTHER RACE listed above.

A person having origins in a racial group not

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SPANISH/HISPANIC BACKGROUND OR ORIGIN - Mark (X) ONE box. Spanish/Hispanic refers to a person of Mexican, Cuban, Puerto Rican, Hispanic Latin American, or other Spanish/Hispanic origin or culture, regardless of ráce.

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