Form C101 - Minnesota Business Activity Questionnaire Page 4
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517 Does your business have resident or nonresident employees, sales reps or commissioned agents
working in Minnesota? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If yes:
a. Do you have standard job descriptions or written agreements with the employees, sales reps or
commissioned agents? Enclose a copy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
b. Do the employees reside in Minnesota? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
c. Do you require employees to:
• Maintain office space in their homes?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
• List it as a business address? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
Yes
No
• Receive business callers there? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
• Store inventory there? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . .
Yes
No
18 Does your business reimburse office expenses? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
19 Does your business have employees who install its products in Minnesota or super vise the installation
by others in Minnesota? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . .
Yes
No
20 Do you have anyone acting on the business’ s behalf who repairs its products in Minnesota? . . . . . . . . . . . . .
Yes
No
21 Do employees in Minnesota investigate, recommend or appoint potential dealers,
agents or distributor s? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
22 Does anyone acting on your business’ s behalf repossess products in Minnesota? . . . . . . . . . . . . . . . . . . . . .
Yes
No
Section C—Other activities performed by employees, affiliates or others
1 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 ser vices in Minnesota.
Convey information concerning out-of-stock or shipping delays.
Check inventories of customer s or distributor s in Minnesota.
Remove obsolete, damaged or outdated inventories.
Pick-up or verify destr uction 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 super vise or manage other employees, independent contractors
or affiliates who perform non-sales activities in Minnesota? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . .
Yes
No
If yes, enter job title and percentage of time devoted to managing non-sales activities.
Attach a copy of the position description.
Job title
Section D—Independent contractor s
1 Does your business hire independent contractors, agents, dealers, affiliates or franchisees to perform
any activity in Minnesota? If yes, describe activities, and provide names and address of the parties.
Also, provide copies of agreements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . .
Yes
No
Continued
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Minnesota Business Activity Questionnaire
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