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Reset Form Michigan Department of Treasury 4930 Rev. 07-14 Quarterly Worksheet for Health Insurance Claims Assessment HICA IMPORTANT This worksheet is your file copy and is subject to audit.
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What is 4930 rev?
4930 rev is a tax form used by tax-exempt organizations to report the top five highest compensated employees and independent contractors.
Who is required to file 4930 rev?
Tax-exempt organizations that have paid certain highly compensated employees or independent contractors are required to file 4930 rev.
How to fill out 4930 rev?
To fill out Form 4930 rev, you need to provide the organization's name, EIN, address, and contact information. You also need to report the names, titles, compensation amounts, and other required information of the top five highest compensated employees and independent contractors.
What is the purpose of 4930 rev?
The purpose of Form 4930 rev is to collect information about the compensation of highly paid individuals in tax-exempt organizations to ensure compliance with tax regulations.
What information must be reported on 4930 rev?
On Form 4930 rev, you need to report the names, titles, compensation amounts, and other required information of the top five highest compensated employees and independent contractors.
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