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NEWS OF THE PEWS Plainfield Community Baptist Church 1094 Rte 12A Plainfield, NH 03781 Church Office Telephone: (603) 6756510 Church email: pcbcnh@comcast.net Church website: pitch.pastor: Chris Jordan Pastor

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To fill out form 1094 RTE 12-A, follow these steps:

02

Start by entering your name and address in the designated fields.

03

Provide your employer identification number (EIN) if applicable.

04

Indicate the month and year of the report period.

05

Enter the number of full-time employees and aggregate employer shared responsibility payments.

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Provide any other required information as outlined in the instructions.

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Sign and date the form where indicated.

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Submit the form as directed, either electronically or by mail.

Who needs 1094 rte 12-a?

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Form 1094 RTE 12-A is needed by employers or businesses who are required to report their full-time employees and any employer shared responsibility payments.

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This form is necessary to comply with certain reporting requirements under the Affordable Care Act.

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