| RECORD LENGTH: 275
|
FIELD
POSITION |
FIELD
LENGTH |
FIELD DESCRIPTION |
|
1 |
1 |
CONSTANT "A" |
|
2-5 |
4 |
YEAR FOR WHICH THE REPORT IS
BEING
TRANSMITTED (FORMAT "CCYY") |
|
6-14 |
9 |
TRANSMITTER’S FEDERAL EMPLOYER
ID
NUMBER (FEIN). ENTER ONLY NUMERIC
CHARACTERS - OMIT SPECIAL CHARACTERS |
|
15-18 |
4 |
TAXING ENTITY CODE - CONSTANT
"UTAX" |
|
19-23 |
5 |
FILLER |
|
24-73 |
50 |
TRANSMITTER NAME |
|
74-113 |
40 |
TRANSMITTER STREET ADDRESS |
|
114-138 |
25 |
TRANSMITTER CITY |
|
139-140 |
2 |
TRANSMITTER STATE |
|
141-153 |
13 |
FILLER |
|
154-158 |
5 |
TRANSMITTER ZIP CODE |
|
159-163 |
5 |
TRANSMITTER ZIP EXTENSION.
INCLUDE
HYPHEN IN POSITION 159. IF UNKNOWN, FILL
WITH BLANKS |
|
164-193 |
30 |
TRANSMITTER CONTACT PERSON |
|
194-203 |
10 |
TRANSMITTER CONTACT TELEPHONE
NUMBER. LEFT JUSTIFY. LEAVE UNFILLED POSITIONS BLANK. |
|
204-207 |
4 |
TELEPHONE EXTENSION/BOX
|
|
208-242 |
35 |
FILLER |
|
243-250 |
8 |
ENTER MMDDCCYY. (0131CCYY,
0430CCYY, 0731CCYY OR 1031CCYY OR LAST DAY OF QUARTER) |
|
251-275 |
27 |
FILLER |