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5330 F1/page 1 of 3AUTHORIZATION FOR PRESCRIBED MEDICATION OR TREATMENT To the Parent: THE FOLLOWING INFORMATION IS NECESSARY FOR ANY STUDENT TO USE PRESCRIBED MEDICATIONS IN SCHOOL. ALL SPACES MUST
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Start by filling out the personal information section at the top of the form. Provide your name, address, and social security number.
02
Move on to the employer details section. Fill in the name and address of your employer, as well as their employer identification number (EIN).
03
Next, complete the plan sponsor information section. If you are the plan sponsor, provide your name and EIN. If not, provide the name and EIN of the plan sponsor.
04
Proceed to the plan administrator information section. If you are the plan administrator, provide your name, address, and EIN. If you are not the plan administrator, provide the name and EIN of the plan administrator.
05
Fill out the plan information section. Provide details about the plan number, plan name, plan year, and plan type.
06
Continue to the signature section. Sign and date the form.
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Finally, review the completed form to ensure accuracy and completeness before submitting it.

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The 5330 f1page 1 form is needed by individuals or entities who are subject to the excise tax under certain sections of the Internal Revenue Code. This includes employers who fail to meet certain requirements related to qualified pension, annuity, or deferred compensation plans. Additionally, plan sponsors and plan administrators may also need to fill out this form in certain situations.
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5330 f1page 1 is part of the Form 5330 used by the IRS.
Employers maintaining certain types of employee benefit plans are required to file Form 5330.
Form 5330 f1page 1 must be filled out with information regarding the employer, the type of benefit plan, and any applicable tax calculations.
The purpose of Form 5330 f1page 1 is to report and pay any excise taxes owed on certain employee benefit plans.
Information such as employer details, plan type, contributions, distributions, and any potential excise tax calculations must be reported on Form 5330 f1page 1.
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