Form C101 - Minnesota Business Activity Questionnaire Page 5
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52 Do you require independent contractors, agents, affiliates or dealers to refrain
from representing products other than yours? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
3 Do you require independent contractors, agents, affiliates or dealers to
perform any of the activities in this questionnaire for your business?
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
. .
Yes
No
Section E—Affiliated companies
1 Does your business own more than 50 percent of another business? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
2 Does another business own more than 50 percent of your business? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If yes to either question 1 or 2, list the names, addresses and FEINs of the businesses.
3 Check all activities that affiliated companies perform.
File income tax in Minnesota.
Have destination sales in, or receipts from, Minnesota.
File sales tax in Minnesota.
Solicit, distribute or ser vice products in Minnesota of
other members of affiliated group.
File withholding (payroll) tax in Minnesota.
Perform ser vices or provide facilities for affiliated companies
Make mail-order sales to Minnesota customer s.
in Minnesota.
For those checked above, list the affiliated company, its Minnesota tax ID number, activity, dates and locations.
Attach additional sheets if necessar y.
Check this list before mailing. Have you included:
Any additional information requested?
A copy of your most recent annual report?
Job descriptions?
Product brochures?
Independent contractor agreements?
Affiliation information?
If you have other information that may be useful in determining if your business has a filing requirement for any tax in Minnesota,
include it here. Attach additional sheets if necessar y.
Sign here
I declare that the information furnished in this report, including accompanying statements, contracts and schedules, is to the best of
my knowledge and belief, true, correct and complete.
Signature
Date
Name of person who prepared questionnaire
Title
Daytime phone
(
)
Mail to: Minnesota Revenue, Corporate Franchise Tax, 230 1st St. S., Suite 102, Virginia, MN 55792-2672. Phone: 218-735-3145
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Minnesota Business Activity Questionnaire
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Parent category: Financial