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Hesitate of CaliforniaHealth and Human Services AgencyDepartment of Health Care Services EDMUND G. BROWN JR. GOVERNOR Jennifer KentDIRECTORNOV 2 l l016Ms. Henrietta Sam Louie Associate Regional IX
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November 2, 2016
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By providing all the required information accurately and following the instructions provided by the tax authorities
To report important financial and tax information to the government
Income, expenses, deductions, and other relevant financial data
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