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EXHIBIT 1 Rev. 21320 OAR 4101415270FORM A STATEMENT REGARDING THE ACQUISITION OF CONTROL OF OR MERGER WITH A CNAME of CCO1BY___ Name of Acquiring Party (Applicant)Filed with the Oregon Health Authority
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OAR 836-027-0100 Form A is a document required for reporting specific information related to agency regulations or compliance within the Oregon Administrative Rules.
Entities or individuals who are regulated under specific guidelines set forth by the Oregon Administrative Rules are required to file OAR 836-027-0100 Form A.
To fill out OAR 836-027-0100 Form A, follow the instructions provided on the form, ensuring to provide all requested information accurately and completely, including any necessary signatures.
The purpose of OAR 836-027-0100 Form A is to collect necessary data for compliance monitoring and regulatory oversight within the context of state insurance regulations.
Form A typically requires reporting information such as identifying details of the filer, relevant financial data, and compliance indicators that are specified in the form's instructions.
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