262-796-4540 • Fax 262-796-4400 • www.wcrb.org
P.O. Box 3080 • Milwaukee, WI 53201-3060
Located at 20700 Swenson Drive, Suite 100, Waukesha, WI 53186

Business Operations Report

Confirmation #:2397
Entered:4/12/2017 3:55:10 PM
 

Contact Information
NAME: BOB JONES TITLE: PRESIDENT
TELEPHONE: (123) 456-7890 X111 EMAIL: BJONES@JONESPRINTING.COM
 
EMPLOYER NAME: JONES PRINTING INC FEIN: 391234567
STREET: 100 MAIN ST
CITY: ANYWHERE STATE: WI ZIP: 55555
 
INS CARRIER: ABC INSURANCE COMPANY
POLICY NUMBER: WC123456 EFFECTIVE DATE: 1/1/2005
 
COVERAGE ID:
 
Legal Status (check all that apply):
 
Yes No
1. Have there been any changes in operations or legal setup within the past three years? If yes, please provide details in the Comments section below.
2. Do you share common ownership with other companies? If yes, please provide details in the Comments section below.
3. Do you operate at any other locations? If yes, please provide details in the Comments section below.
4. Do you own an aircraft? If yes, please provide details in the Comments section below.
 

Description of Operations
Please provide details of your operations for the following areas, commenting in all pertinent fields.
 
Products manufactured or services provided:
We are a commercial printer of booklets, pamphlets, cards, etc.
 
Raw materials or supplies used, if applicable:
Paper in roll and sheet form, ink and plates.
 
Equipment used in production operations or in services provided:
Web presses, offset presses, packaging machines, forklifts, trucks.
 
Manufacturing processes or service procedures:
Designs are received in from customers. Plates are made of the designs, sent to the pressroom and the specific items are printed. Finished material is packaged in boxes and sent to shipping to await delivery.
 
Method of, and party responsible for, transportation of raw materials and finished goods, if applicable:
We have three trucks of our own which are used to deliver finished goods within a 100-mile radius of the plant. Shipments to further destinations are handled by common carrier.
 
Comments:
We added a new location recently at 200 Main St. This building is used as a warehouse to stage finished goods prior to shipment.
 

Number of Employees
 
Department or Functional Area: Number
Pressroom 10
Warehouse 1
Drivers 2
Platemaking 2
Accounting 2
Receptionist 1
 
Questions or comments regarding this form:
NONE
 
Thank you for completing the Business Operations Report.
Please print out a copy for your record.