Questionnaire 21-004: Activities Within Iowa For A Corporation, Partnership Or Llc Page 7

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Page 7
24. While present in Iowa, have company employees:
Yes / No
How Often?
Performed engineering, consulting, or design services?
__________
_______________
Provided any technical assistance?
__________
_______________
Performed any research or testing?
__________
_______________
Please explain all yes answers:
25. While present in Iowa, have company employees trained brokers or dealers in:
Yes / No
How Often?
Servicing/repairing products?
__________
_______________
Product installation?
__________
_______________
Product examination and trouble shooting?
__________
_______________
Please explain all yes answers:
26. While present in Iowa, have the company employees:
Yes / No
How Often?
Sold merchandise or products in their possession?
__________
_______________
Replaced customers’ merchandise or products with
merchandise or products in their possession?
__________
_______________
Removed or destroyed any merchandise or products,
for any reason?
__________
_______________
Verified the removal or destruction of any merchandise
or products, for any reason?
__________
_______________
Picked up merchandise, products, or other company
property from anyone located in Iowa?
__________
_______________
Delivered merchandise, products, or other company
property to anyone located in Iowa?
__________
_______________
Inspected products or merchandise for any reason
(this would include taking pictures of damaged
__________
_______________
or defective products)?
Please explain all yes answers:
27. While present in Iowa, have company employees:
Yes / No
How Often?
Actually resolved or aided in the resolution of complaints
or problems?
__________
_______________
Relayed a report to an out-of-state location for resolution?
__________
_______________
a. What has been the nature of the complaints?
21-004g (04/04/11)

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