Questionnaire 21-004: Activities Within Iowa For A Corporation, Partnership Or Llc Page 8

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Page 8
b. How do employees in Iowa resolve or assist in resolving complaints?
c. How does the out-of-state location resolve complaints?
28. While present in Iowa, have company employees performed any other activities not mentioned in any
of the other questions?
Yes______
No ______
If yes, please explain any other activities, including how often these activities occurred.
29. Please provide the names, addresses, titles and telephone numbers of all employees who helped
complete this questionnaire or provided information for the questionnaire.
Name
Title
Phone Number
_____________________________________ ____________________________
____________
Address: _____________________________________________________________________________
Name
Title
Phone Number
_____________________________________ ____________________________
____________
Address: _____________________________________________________________________________
Name
Title
Phone Number
_____________________________________ ____________________________
____________
Address: _____________________________________________________________________________
Name
Title
Phone Number
_____________________________________ ____________________________
____________
Address: _____________________________________________________________________________
30. Please provide the name, address, title and telephone number of the employee we should contact for
further information.
Name
Title
Phone Number
_____________________________________ ____________________________
____________
Address: _____________________________________________________________________________
21-004h (04/04/11)

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