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FOR BHF USE LL1 2005 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2005) I. DPH Facility ID Number: Facility
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Wabash Christian Retirement-0020610 is a form used to report retirement contributions and income for employees.
Employers who offer retirement plans to their employees are required to file Wabash Christian Retirement-0020610.
Wabash Christian Retirement-0020610 must be filled out with accurate information regarding retirement contributions, income, and employee details.
The purpose of Wabash Christian Retirement-0020610 is to report retirement-related information to the relevant authorities.
Information such as retirement contributions, income, and employee details must be reported on Wabash Christian Retirement-0020610.
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ILLINOIS 2004 2005 Wabash CNA CNAs 10a 12B workpaper Trane 12I IDPH ICF OHF VII SNF reclassification 28a preparer Carmi 12A xii XIX Schafer BHF Licensure 12D Punke Liab 12C LLP

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