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02/19/2020PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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To fill out Wyndmoor of Evansville LLC, follow these steps:
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Start by entering the name of the LLC, which should be 'Wyndmoor of Evansville LLC'.
03
Provide the principal address of the LLC, including the street, city, state, and ZIP code.
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State the purpose of the LLC, which could be real estate development, property management, or any other relevant activity.
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Indicate the effective date of the LLC, which is usually the date of filing the formation documents.
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List the members or owners of the LLC, their names, addresses, and percentage interests.
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Determine whether the LLC will be managed by members or by managers. If it is member-managed, provide the names and addresses of all managing members.
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If the LLC will be managed by managers, provide the names and addresses of all managers.
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Consider including any additional provisions or clauses that may be necessary or desired for the LLC's operations.
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Sign and date the Wyndmoor of Evansville LLC form, and have all members or managers do the same.
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Submit the completed form according to the filing instructions provided by the relevant authority, typically the Secretary of State or equivalent.
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What is wyndmoor of evansville llc?
Wyndmoor of Evansville LLC is a limited liability company based in Evansville, Indiana, which typically operates in the healthcare or assisted living sector, providing services such as residential living for seniors.
Who is required to file wyndmoor of evansville llc?
Those responsible for the management and financial operations of Wyndmoor of Evansville LLC, including owners and designated representatives, are required to file necessary documents and reports.
How to fill out wyndmoor of evansville llc?
To fill out the forms for Wyndmoor of Evansville LLC, you will need to provide business information including the company name, registered address, owner information, and details related to financial operations, as well as any specific state-required disclosures.
What is the purpose of wyndmoor of evansville llc?
The purpose of Wyndmoor of Evansville LLC is to operate a facility that provides residential care and supportive services for seniors and individuals needing assistance, fostering a community-oriented living environment.
What information must be reported on wyndmoor of evansville llc?
Information that must be reported includes financial statements, ownership details, operational updates, compliance with state regulations, and any changes in management or business structure.
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