Form 6401-Hmc - Application And Election For A Headquarters Management Corporation Business License Page 2

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PART D - EXPANDED BUSINESS ACTIVITIES OF APPLICANT WITH NO DELAWARE AFFILIATES:
1. Describe all intangible investments managed and/or maintained and all investment activities performed by the Applicant in
Delaware prior to this application and before the election date on Part B, Line 1.
2. Describe the ‘new/additional’ intangible investments Applicant will manage and/or maintain and the investment activities
it will perform in Delaware.
3. Describe the ‘new/additional’ Headquarters Service Activities, other than those described in question 2 above, Applicant
will perform in Delaware.
4. Enter the number of individuals employed in Delaware on a regular basis, 35 or more hours per week, performing activities
described in question 1 above, prior to this application and before the election date on Part B, Line 1.
5. Supply a list of the Name, Address and Federal Identification Number of each individual represented in question 4
above and the name of the corporation and Federal Employer Identification Number of the entity the employees
worked for prior to the election.
6. Enter the ‘Expenditures’, as defined in 30 Del. § 6401(g), of the Applicant allocated to this State in the Applicant’s most
recent taxable year ending prior to this application and before the election date on Part B, Line 1.
7. Go to and Complete Part F.
*DF42813029999*

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