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Todd McIndoo is a Vice President at Speedy - National Association ...

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Form 3949 A(2-2007)1. Taxpayer Namea. Street Addressb. City/St<strong>at</strong>e/ZIPc. Social Security Number (SSN)d. Occup<strong>at</strong>ione. D<strong>at</strong>e of BirthDepartment of the Treasury – Internal Revenue ServiceInform<strong>at</strong>ion Referral(See instructions on reverse)2. Business NameThe Allst<strong>at</strong>e Corpor<strong>at</strong>iona. Street Address2775 Sanders Roadb. City/St<strong>at</strong>e/ZIPNorthbrook, IL 60062-6127c. Employer Identific<strong>at</strong>ion Number36-0719665d. Principal Bus ActivityInsuranceOMB # 1545-19603. Marital St<strong>at</strong>usMarried Single Head of HouseholdDivorced Separ<strong>at</strong>ed4. Alleged Viol<strong>at</strong>ion of Income Tax Law (Check all th<strong>at</strong> apply).False Exemption Unsubstanti<strong>at</strong>ed IncomeFalse Deductions KickbackMultiple FilingFalse/Altered DocumentsOrganized Crime Failure to Pay Tax3a. Name of SpouseUnreported IncomeNarcotics IncomePublic/Political CorruptionFailure to File Return✔ Failure to Withhold TaxWagering/GamblingEarned Income Credit✔ Other (Describe below)5. Unreported Income and Tax Years (Fill in Tax Years and dollar amount(s), if known, e.g., TY2005 $10,000)TY 03 $ TY 04 $ TY 05 $ TY 06 $ TY 07 $ TY 08 $a. Comments (Briefly describe the facts of the alleged viol<strong>at</strong>ion - Who/Wh<strong>at</strong>/Where/When/How. Attach another sheet, if needed).Allst<strong>at</strong>e Insurance Company reports its captive agents to the IRS as 'independent contractors.' However, Allst<strong>at</strong>ecaptive agents are subjected to employee-style controls including annual performance reviews; instruction,training and evalu<strong>at</strong>ion for work performance; mand<strong>at</strong>ory hours and oper<strong>at</strong>ing schedule, control of after hourstelephone service, sales quotas, required reporting of work tasks including prospecting calls, number of quotesand policy sales; mand<strong>at</strong>ory <strong>at</strong>tendance <strong>at</strong> meetings and training sessions; and <strong>at</strong> will termin<strong>at</strong>ion of the agentcontract subject only to 90 day prior written notice. The agency d<strong>is</strong>tribution system <strong>is</strong> an integral part of theoper<strong>at</strong>ion of the company and the agency contract provides for a continuing rel<strong>at</strong>ionship between the agent andthe company. Allst<strong>at</strong>e agents work implicitly for Allst<strong>at</strong>e, with approx 95% of income derived solely from Allst<strong>at</strong>e.b. Are books/records available?✔ Yes Nod. Banks, Financial Institutions used by the taxpayer:Name:Address:City/St<strong>at</strong>e/ZIP:c. Do you consider the taxpayer dangerous?Yes ✔ NoName:Address:City/St<strong>at</strong>e/ZIP:e. Please describe how you learned and/or obtained the inform<strong>at</strong>ion in th<strong>is</strong> report (Attach another sheet, if needed):I have been an Allst<strong>at</strong>e agent for (__) years. I have witnessed employee-style control behavior firsthand and amincluding a copy of a recent company communic<strong>at</strong>ion/directive th<strong>at</strong> exhibits these alleg<strong>at</strong>ions. By m<strong>is</strong>classiyingapprox 14,000 workers, Allst<strong>at</strong>e has avoided years of Unemployment, Social Security and Medicare taxes.6. Your Name: Withheld for fear of retali<strong>at</strong>ion, possibly resulting in the termin<strong>at</strong>ion of my contract.a. Address:b. City/St<strong>at</strong>e/ZIP:c. Telephone Number (Please include the Area Code):For Mailing Address, see InstructionsFor Paperwork Reduction Act, see InstructionsC<strong>at</strong>alog Number 47872E Form 3949 A (Rev. 2-2007)Winter 2009/2010 Exclusivefocus — 27

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