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FOR OH FUSE LL1 2001 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2001) I. DPH Facility ID Number: Facility Name: 0043422
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Fair Oaks Hlth C is a form used for reporting healthcare coverage information to the IRS.
Employers with 50 or more full-time employees and certain other entities are required to file Fair Oaks Hlth C.
You can fill out Fair Oaks Hlth C by providing information about the healthcare coverage offered to employees and dependents.
The purpose of Fair Oaks Hlth C is to provide the IRS with information about healthcare coverage to ensure compliance with the Affordable Care Act.
Information such as employee names, social security numbers, and details about the coverage offered must be reported on Fair Oaks Hlth C.
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