Form 6401-Hmc - Application And Election For A Headquarters Management Corporation Business License Page 3
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4PART E - APPLICANT PERFORMED NON INVESTMENT ACTIVITIES OR HAS DELAWARE AFFILIATES:
1. Describe all intangible investments managed and/or maintained and any 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 any Headquarters Services, other than those listed in question 1 above, performed by the Applicant and its
affiliates within Delaware prior to this application and before the election date on Part B, Line 1.
4. Describe the ‘new/additional’ Headquarters Service Activities Applicant will perform in Delaware.
5. 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.
6. Enter the number of individuals employed in Delaware on a regular basis 35 or more hours per week, performing activities
described in question 3 above, prior to this application and before the election date on Part B, Line 1.
7. Enter the number of individuals employed in Delaware on a regular basis 35 or more hours per week, within Delaware by
each affiliate of the Applicant, prior to this application and before the election date on Part B, Line 1.
8. Supply a separate list of the Name, Address and Federal Identification Number of each individual represented in
questions 5, 6 and 7 above and the name and Federal Employer Identification Number of the entity the employees
worked for prior to this application and before the election.
9. 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.
$
10. Supply a list of the Name, Address and Federal Identification Number of each affiliate that performed activities in
Delaware prior to this application and before the election date on Part B, Line 1.
11. Enter the ‘Expenditures’, as defined in 30 Del. § 6401(g), of all affiliates of the Applicant allocated to this State in the
affiliates’ most recent taxable year ending prior to this application and before the election date on Part B, Line 1.
$
12. Go to and Complete Part F.
*DF42813039999*
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