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FOR BHF USELL1 2005 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2005)I.DPH Facility ID Number: Facility

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What is form fountains?

Form fountains is a financial disclosure form required for certain individuals or organizations.

Who is required to file form fountains?

Individuals or organizations meeting specific criteria set by the governing body are required to file form fountains.

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Form fountains can be filled out online or by mail following the instructions provided by the governing body.

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The purpose of form fountains is to provide transparency and accountability in financial matters.

What information must be reported on form fountains?

Form fountains requires information such as income sources, investments, and assets.