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PRINTED: 11/26/2007 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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What is f 496 continued from?

F 496 is a form continued from Form 496, otherwise known as the Campaign Disclosure Statement - Late Contribution Report.

Who is required to file f 496 continued from?

Any individual or entity that receives late contributions of $1,000 or more within 90 days before an election must file Form 496.

How to fill out f 496 continued from?

To fill out Form 496, one must provide details of the late contributions received, including the amount, source, and date of receipt.

What is the purpose of f 496 continued from?

The purpose of Form 496 is to disclose any late contributions received by a candidate or committee to ensure transparency in campaign finances.

What information must be reported on f 496 continued from?

Information that must be reported on Form 496 includes the amount of late contributions, the source of the contributions, and the date they were received.