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FOR OH FUSE LL1 2004 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2004) I. DPH Facility ID Number: Facility Name: 0042739
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Lexington of Chicago Ridge-0042739 is a form used for reporting certain financial information to the IRS.
Any individual or organization that meets the requirements set by the IRS for filing this form.
The form should be completed following the instructions provided by the IRS, including providing accurate financial information.
The purpose of the form is to report specific financial transactions to the IRS for tax purposes.
Information such as income, deductions, credits, and other financial details must be reported on the form.
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