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Printing - FECA-PT2 - National Association of Letter Carriers

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prices and hours <strong>of</strong> operation; sales; and personnel actions such as hiring, firing, rates <strong>of</strong> pay and<br />

promotions. For all areas where you indicate that you have performed no duties, explain who performs<br />

these functions and give their names and addresses. If no one has assumed these duties, how are they<br />

being handed?<br />

12. Provide the names and addresses <strong>of</strong> three suppliers and three clients.<br />

13. How many hours per month do you now spend in any <strong>of</strong> the activities described above? How many<br />

hours per month did you previously work? On what date did this situation change?<br />

14. If you were previously self-employed (as a sole proprietor), what were your gross and net earnings in<br />

the year prior to incorporation? Provide IRS Form 1040, Schedule F or C and Schedule SE for that year.<br />

CORPORATE OFFICERS, Continued<br />

15. If the business existed while you were waiting for benefits under the Federal Employees'<br />

Compensation Act (<strong>FECA</strong>) to begin, and you waived your salary, how did you meet your living expenses?<br />

16. What monies do you derive from the corporation? List separately by amount and date received monies<br />

representing dividends, rents, loan repayments, wages, reimbursement <strong>of</strong> personal expenses, and use <strong>of</strong><br />

a company vehicle.<br />

17. What was your personal reason for incorporating?<br />

18. If your spouse or child (as applicable) was not previously employed in this or a similar business, when,<br />

where, and how did he or she gain the expertise to run the corporation?<br />

19. Has corporate pr<strong>of</strong>it been distributed in any year since the date <strong>of</strong> incorporation? If not, why not?<br />

20. Submit Articles <strong>of</strong> Incorporation, copies <strong>of</strong> the minutes <strong>of</strong> the corporate <strong>of</strong>ficers, and corporate tax<br />

returns for all years in which the business was incorporated and you have been entitled to or are claiming<br />

benefits under the <strong>FECA</strong>, as well as copies <strong>of</strong> all W-2 forms attached to your personal return. Provide<br />

returns for those years, and for one year prior.<br />

2-0812 Exhibit 3: Sample <strong>Letter</strong> Where Form CA-1032 was Incomplete<br />

Dear CLAIMANT NAME:<br />

<strong>FECA</strong>-<strong>PT2</strong> Printed: 06/08/2010 398

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