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FOR OF USELL1 2001STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2001)I.DPH Facility ID Number: Facility Name:0007534II.CERTIFICATION

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Rest Haven Illiana Christian is a tax exemption form for non-profit organizations.

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Non-profit organizations with tax-exempt status are required to file Rest Haven Illiana Christian form.

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Rest Haven Illiana Christian form requires reporting of the organization's financial activities, expenses, and overall operational status.

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