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PRINTED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE MEDICAID SERVICES STATEMENT OF DEFICIENCIES X1 PROVIDER/SUPPLIER/CLIA AND PLAN OF CORRECTION IDENTIFICATION NUMBER 05/31/2017 FORM APPROVED OMB NO. 0938-0391 X2 MULTIPLE CONSTRUCTION A. BUILDING X3 DATE SURVEY COMPLETED 01/17/2017 B. WING STREET ADDRESS CITY STATE ZIP CODE NAME OF PROVIDER OR SUPPLIER 460 FORKS OF THE WABASH WAY HUNTINGTON IN 46750 TIPTON PLACE X4 ID SUMMARY STATEMENT OF DEFICIENCIES ID PREFIX EACH...
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460 Form is a disclosure form required by the California Fair Political Practices Commission (FPPC) for reporting certain financial transactions and interests.
Candidates, elected officials, and committees involved in political campaigns are required to file the 460 Form.
The 460 Form can be filled out online or manually by providing details of financial transactions, contributions, and expenditures.
The purpose of the 460 Form is to provide transparency and accountability in political campaigns by disclosing financial transactions and interests.
Information such as contributions received, expenditures made, loans taken, and financial interests must be reported on the 460 Form.
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