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G. Rounding

For purposes of this form, all percentages must be expressed to the nearest two decimal places (such as 15.92%). All dollar entries must be rounded to the nearest $1,000 and the 000's should be omitted (such as $1,750,803 entered as $1,751).

H. Sanctions

The timely submission or retention of a Form CLC-22 by a firm subject to 6 CFR Part 150, Subpart N, as a construction industry report is a mandatory requirement under Phase IV regu. lations. Late filing, failure to file, failure to keep records, or failure otherwise to comply with these instructions, may result in criminal fines, civil penalties, and other sanctions as provided by law.

Specific Instructions

PART I-Identification Data

Item 1 a or b. Organization/Status. Check the box which indicates the status of the organization to which this form applies.

Item 2. Type of Submission. Check box (d) labeled "Other" and insert "Construction Industry Report" in the space provided.

Item 3. Name, Address, and Chief Executive Officer

Name. If Item 1(a) is checked, enter the legal name of the parent. If Item 1(b) is checked, enter the legal name of the unconsolidated entity.

Address. Enter the address of the executive office.

Chief Executive Officer. Enter the name and title of the
Chief Executive Officer.

Parent. If item 1(b) is checked, enter the legal name of
the parent.

Item 4. Is This a Resubmission? Answer Item 4 "yes" if you are supplying additional information or are resubmitting a report. In either case, the form must be completed in its entirety.

Item 5. Ending Date of Most Recently Completed Fiscal Year.
Enter the date of the last day of the most recently completed
fiscal year of the entity. If the fiscal year ending date has
changed, enter the word "change" and attach a letter ex-
plaining the change.

Item 6. Reporting Period Ending Date. Leave blank.
Item 7. Annual Sales or Revenue. Enter for the most recently
completed fiscal year, the total of the annual sales or revenues
(as defined in 6 CFR 150.452) of the parent and its consoli.
dated and unconsolidated controlled firms.

PART II-Calculation of Base Period Profit Margin

This part must be completed each time the Form CLC-22 is prepared. If the firm received an order granting a request for an exception affecting its base period profit margin, it may use the provisions of such an order in calculating the base period profit margin in accordance with the instructions to this part. In such cases the firm must enclose a copy of the exception order and document its use and dollar effect.

The term "base period" means any one, at the option of the entity, of that entity's fiscal years ending after August 15, 1968, other than the fiscal year for which compliance is being measured. A fiscal year in which it is determined that the entity unlawfully exceeded its base period profit margin can be a base period fiscal year except that operating income for that year must be reduced by the amount of the dollar value of the excess profit margin. If a Schedule R for the base period year has been submitted

to the IRS pursuant to Subpart H, a photographic reproduction of the Schedule R must be attached to the Form CLC-22 prepared as a construction industry report. If no Schedule R has been submitted, for purposes of Part II of this form, firms which file Form 10-K with the Securities and Exchange Commission (SEC) must attach to the first Form CLC-22 completed in accordance with these instructions, a copy of their Form 10-K for the base period year.

Firms which must file Form CLC-22, but do not file Form 10-K with the Securities and Exchange Commission must prepare and attach to the Form CLC-22, annual financial statements (prepared in conformity with the generally accepted accounting principles consistently applied) in conformity with definitions in the Securities and Exchange Commission Regulations S-X in lieu of Form 10-K as specified above.

In addition, such firms which do not file Form 10-K with the Securities and Exchange Commission but which have annual financial statements audited by independent public accountants must attach a copy of such audited statements in conformance with the requirement for submitting Form 10-K as outlined in the paragraph above. Such firms which do not have audited annual financial statements must attach a document explaining why such statements are not available.

Firms which do not file Form CLC-22 should prepare annual financial statements in accordance with generally accepted accounting principles consistently applied.

The entries made in Items 8 and 11 must be reconciled in an attached Schedule with the corresponding entries reported on a supporting Form 10-K or other financial statements required to be attached to the Form CLC-22 by these instructions.

If an entity's annual sales or revenues from other than construction operations are not more than 50 percent of its total annual sales or revenues and the firm cannot separate its construction and nonconstruction operating income, the firm shall treat its nonconstruction operations as part of its construction operations in computing "net sales from construction operations" and "operating income from construction operations."

"Net sales from construction operations" means sales or revenues as defined in Securities and Exchange Commission Regulation S-X, from construction operations including the pro rata share of sales or revenues derived from the construction operations of any joint venture of which it is a participant but excluding foreign operations as referred to in the definition of annual sales or revenues in 6 CFR 150.452.

"Operating income from construction operations" means "net sales from construction operations" less "allowable costs" including operating costs and expenses; selling, general and administrative expenses; provision for doubtful accounts and notes; interest expense and other general expenses defined in Securities and Exchange Commission Regulations S-X when directly related to construction operations.

Allowable Costs

The following costs and expenses must not be included in the computation of operating income from construction operations: (1) Labor costs in excess of any wage or salary adjustment approved by CISC or CLC;

(2) Labor costs incurred during the period from 9 p.m.,
e.s.t., June 13, 1973, through 11:59 p.m., e.s.t.,
August 12, 1973, as a result of the wage or salary
adjustment described in (1) unless the effective date
of the adjustment was prior to June 13, 1973;
(3) nonoperating income items;

(4) extraordinary items; and (5) taxes on income.

28-511 O-74-3

Item 8. Base Year 1 Net Sales. Enter the "net sales from con-
struction operations" for the base period year.
Item 9. Base Year 2 Net Sales. Leave blank.
Item 10. Total. Enter the amount in Item 8.

Item 11. Base Year 1 Operating Income. Enter the "operating
income from construction operations" for the base period year.
Item 12. Base Year 2 Operating Income. Leave blank.
Item 13. Total. Enter the amount in Item 11.

Item 14. Base Period Profit Margin. The base period profit margin is calculated by dividing Item 13 by Item 10. PART III-Calculation of Profit Variation

This part must be completed by the entity each time Form CLC-22 is prepared as an annual report. If a Schedule R for the most recently completed fiscal year has been submitted to the IRS pursuant to Subpart H, a photographic reproduction of the Schedule R must be attached to the Form CLC-22 prepared as a construction industry report. If no Schedule R has been submitted, for purposes of Part III of this form, firms which file Form 10-K with the SEC must attach a copy of any Form 10-K for the annual period which ends on the date entered in Item 5, Part I. Firms which do not file Form 10-K with the SEC must file annual financial statements for the annual period being reported as required for Part II above. The entries made in Items 15 and 18 must be reconciled in an attached Schedule with the correspond. ing entries reported on the supporting Form 10-K or other financial statements required. If the entry in Item 19 shows that the profit margin of the entity for the most recently completed year is over the Target Profit, the entity must attach an explanation as to why it should not be considered to be in violation of 6 CFR 150.455.

Item 15. Net Sales. Enter the "net sales from construction operations" for the annual period being reported.

Item 16. Base Period Profit Margin. Enter the base period profit margin from Part II, Item 14.

Item 17. Target Cumulative Period Profit Margin. Enter the target amount of cumulative period profit determined by multiplying Item 15 by Item 16.

Item 18. Actual Operating Income. Enter the "operating in. come from construction operations" for the annual period being reported.

Item 19. Cumulative Profit Under (Over) Target Profit. This entry is determined by subtracting Item 18 from Item 17. PART IV-Additional InformationSelf explanatory.

PART V-Certification

Type the name and title of the individual who has signed the certification and the date of signing. The individual who signs and certifies this Form CLC-22 must be the Chief Executive Officer of the Parent or such other executive officer of the entity as authorized by the Chief Executive Officer to sign for him for this

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of the above-named parent; and that, as such, I am authorized to sign documents and to certify, on behalf of said parent, to accuracy and completeness of all the information in such documents. Pursuant to the power vested in me, I hereby delegate all or, to the extent indicated below, a portion of that authority to the person(s) listed below, who is (are) executive officer(s) of the above-named parent or entity of the firm. This delegation is effective until it is revoked in writing, and the Internal Revenue Service is so notified.

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Part II-Calculation of Base Period Profit Margin (For dollar amounts omit 000; show percentages to two decimal places.)

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Part III-Calculation of Profit Variation (For dollar amounts, omit 000; show percentages to two decimal places.)

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(b) Address (number and street)

(c) City or town, State and ZIP code

(d) Phone number (include area code)

You must maintain, for possible inspection and audit, a record of all price changes after November 13, 1971. Give location of such records.

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Part V Certification

I certify that the information submitted on and with this form is factually correct, complete and in accordance with Economic Stabilization Regulations (Title 6. Code of Federal Regulations) and instructions to Form CLC-22.

Type name and title of the Chief Executive Officer of parent, or other authorized Executive Officer, and date signed.
Date

Name

Signature

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Cost of Living Council

2000 M Street, N.W.

Washington, D.C. 20508

CLC-22P Instructions

Additional Instructions for Petroleum and Petroleum Products

(As an addendum to Instructions for the Preparation of Form CLC-22)

These instructions are designed as an addendum to the Instructions for the Preparation of Form CLC-22 in order to provide for the prenotification of prices and periodic reporting of prices, costs, and profits pursuant to 6 CFR, Part 150, Subpart L. The Instructions for the Preparation of the Form CLC-22 remain unchanged except as altered by these instructions.

A. Purpose

General Instructions

(Same as the Instructions for the Preparation of Form CLC-22).

B. Who Must Use Form CLC-22

Replace paragraph 4 with the following paragraph and add paragraphs 5, 6, and 7.

4.

Certification of No Price Increase-Any entity that would otherwise be required to file the Form CLC-22 on a quarterly basis which has not increased any price in excess of the greater of the base price (6 CFR, Part 150. Subpart F) or the adjusted freeze price (6 CFR, Part 150, Subpart E), and has not increased the price of a covered product in excess of its base price (6 CFR, Part 150, Subpart L), must submit within 30 days of the end of the entity's fiscal quarter, a Form CLC-22 with Parts I, IV, and V completed in accordance with these instructions, and, with the following certification typed in Part VI, Item 24, Lines (1) through (33):

I certify that as of (a), (b) has not at any time since (c): (1) charged a price in excess of the greater of the adjusted freeze price defined in accordance with 6 CFR, Part 150, Subpart E or the base price established in accordance with 6 CFR, Part 150, Subpart F; (2) charged a price for any custom product or service as defined in 6 CFR 150.104, or, if it has charged such a price, that the annual sales or revenues attributable to all its custom products or services will represent less than $10 million and less than 1% of the entity's annual sales or revenues, (3) increased a price pursuant to the special rule for volatility in 6 CFR 150.156, or (4) charged a price in excess of the base price of a covered product as defined in 6 CFR, Part 150, Subpart L.

Chief Executive Officer (or other authorized executive officer)

The following information is entered in the appropriate blanks of the certification:

5.

6.

7.

(a) the reporting period ending date

(b) the name of the entity to which the Form CLC-22
applies

(c) the date of the last day in base price period.
Each "refiner"; and each "retailer", "reseller", or
"producer" (of domestic crude petroleum as an opera.
tor) which derives $50 million or more in annual sales
or revenues from the sale of "covered products" as
those terms are defined in 6 CFR 150.352, must pre-
pare a Form CLC-22 as a quarterly report completed
in accordance with these instructions.

Each firm which derives less than $50 million but more
than $1 million in annual sales or revenues from the
retailing or reselling of covered products must prepare
and maintain at its principal place of business, a Form
CLC-22 as a quarterly report completed in accordance
with these instructions.

Each refiner subject to the prenotification requirements in 6 CFR 150.358 must prenotify price increases on a Form CLC-22 used as a prenotification document in accordance with these instructions.

C. When to Submit or Prepare

(Same as the Instructions for the Preparation of Form CLC-22)

D. What to Submit or Prepare

(Same as the Instructions for the Preparation of Form CLC-22)

E. Where to Submit

(Same as the Instructions for the Preparation of Form CLC-22)

F. Suggestions for Improvement

(Same as the Instructions for the Preparation of Form CLC-22)

G. Rounding

(Same as the Instructions for the Preparation of Form CLC-22)

H. Sanctions

(Samc as the Instructions for the Preparation of Form CLC-22)

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