Form Mc101 - Business Activity Questionnaire For Determining Minnesotacare Tax Nexus Page 3
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42 Has your business ever done any advertising or promotional activities in Minnesota? . . . . . . . . . . . . . . . . . . . . .
Yes
No
If yes, describe activities, property used and media employed:
3 Have you or an affiliated business:
a Filed financing statements with the Minnesota Secretary of State? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
b Provided financing services to Minnesota customers? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
4 Do employees in Minnesota solicit orders for the sale of your product(s) in Minnesota? (If yes, explain) . . . . . . . .
Yes
No
5 Do you conduct seminars in Minnesota regarding your products? (If yes, explain) . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Section C—Other activities performed by employees, affiliates or others
Check the activities that resident or nonresident employees perform in Minnesota (check all that apply):
Maintain samples . Enter value of samples and explain what is done with them .
Make “on-the-spot” sales of any items .
Secure deposits on sales, merchandise or services in Minnesota .
Convey information concerning out-of-stock or shipping delays .
Check inventories of customers or distributors in Minnesota .
Advise customers or distributors as to minimum inventories,
Remove obsolete, damaged, or outdated inventories .
Pick-up or verify destruction of damaged, returned, or outdated merchandise in Minnesota .
Carry complaint forms that are completed by the employee and forwarded to the proper
location for processing . If checked, provide a copy of form .
Process customer complaints in Minnesota .
Authorize credits, warranty adjustments or repairs .
Engage in any collection activity of any kind in Minnesota .
Make credit investigations in Minnesota .
2 Does any employee within Minnesota supervise or manage other employees, independent contractors
or affiliates who perform non-sales activities in Minnesota? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If yes, attach a copy of the position description, and enter job title and percentage of time devoted to
managing non-sales activities:
Job title
Percent time
%
Section D—Affiliated companies
Does your business own more than 50 percent of another business in Minnesota? . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If yes, list the names, addresses and FEINs of the businesses (attach additional sheets, if necessary):
2 Does another business in Minnesota own more than 50 percent of your business? . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If yes, list the name, address and FEIN of the business:
Continued
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Minnesota Business Activity Questionnaire—MinnesotaCare Tax Nexus
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