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104 b 1 i Ownership in Other Disclosing Entities ODE per 42 CFR Part 455. 104 b 3 - Complete if any identified in Section 1 has an ownership or control interest in ODE Name from Section 1 Name of ODE Ownership in Subcontractors If the Applicant has an ownership or control interest of 5 or more in a subcontractor and an Owner of the Applicant also has an ownership or control interest in the subcontractor complete the boxes below. If those identified in this Section have a familial...
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How to fill out facility disclosure of ownership

01
Step 1: Obtain the facility disclosure of ownership form from the relevant authorities.
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Step 2: Read the instructions and requirements of the form carefully.
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Step 3: Gather all necessary documents and information related to the facility's ownership.
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Step 4: Fill out the form accurately, providing all requested details.
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Step 5: Double-check the form for any errors or omissions.
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Step 6: Sign and date the form.
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Step 7: Submit the completed form to the appropriate authorities.
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Step 8: Keep a copy of the filled-out form for your records.

Who needs facility disclosure of ownership?

01
Owners or operators of facilities that are required to disclose their ownership details.
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Government agencies and regulatory bodies that oversee facility ownership.
03
Financial institutions or lenders that may need this information for due diligence purposes.
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Potential buyers or investors who are interested in acquiring or investing in the facility.
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Legal professionals who are involved in matters related to facility ownership.
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Insurance companies that require ownership disclosure for policy coverage assessment.
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Business partners or stakeholders who need to verify ownership for contractual purposes.
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Any other party or entity that has a legitimate need to access facility ownership information.
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The facility disclosure of ownership is a requirement for facilities to disclose information about their ownership structure.
Facilities that are subject to regulatory or licensing requirements are typically required to file facility disclosure of ownership.
Facility disclosure of ownership forms can usually be filled out online or submitted through a specific government agency website.
The purpose of facility disclosure of ownership is to provide transparency and accountability in ownership structure of facilities.
Facility disclosure of ownership typically requires information about the name of owners, their percentage of ownership, and any affiliations.
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