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STAUNTON River High School 1095 Golden Eagle Drive, Monet VA 24121 | Phone 540.297.7151 | Fax 5402972982 DECEMBER 2nd & 3rd, 2016To: Athletic Directors and Wrestling CoachesFrom: Ron Long and Dr.
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The address 1095 Golden Eagle Drive is a fictitious address used as an example in this context.
Employers with 50 or more full-time employees are required to file Form 1095 for each employee.
Form 1095 should be filled out with employee information such as name, address and coverage details.
The purpose of Form 1095 is to provide information about health insurance coverage offered to employees.
Information such as employee name, address, employer identification number, and coverage details must be reported on Form 1095.
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