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1. Please fully complete this form 2. Attach itemized bills 3. Mail to: Health Special Risk, Inc. Email: Gallagher hsri.com HER Plaza 4100 Medical Parkway, Suite 200 Carrollton, Texas 75007 Telephone
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HSR Plaza 1 is a form required to be filed with the Federal Trade Commission and Department of Justice under the Hart-Scott-Rodino Antitrust Improvements Act.
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Any person or entity proposing an acquisition of voting securities or assets is required to file HSR Plaza 1 if the transaction meets certain thresholds.
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The purpose of HSR Plaza 1 is to provide the government with information about proposed transactions that could impact competition in the market.
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Information such as details of the transaction, the parties involved, financial information, and other relevant data must be reported on HSR Plaza 1.
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