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Protecting, MaintainingandImprovingtheHealthofAllMinnesotans Electronically delivered November15,2021 Administrator ShakopeeFriendshipManor 1340ThirdAvenueWest Shopee,MN55379 RE: CCN:245445 CycleStartDate:October19,2021DearAdministrator:

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456b is a form used for reporting certain financial information to relevant authorities.

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