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PRINTED: 12/02/2020 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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What is 1202 form approved?
The 1202 form approved is used for reporting information related to certain qualified small business stock.
Who is required to file 1202 form approved?
Individuals who own or have received qualified small business stock are required to file the 1202 form approved.
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What information must be reported on 1202 form approved?
Information such as the name and address of the issuer of the qualified small business stock, the stockholder's name and identification number, and the date the stock was acquired must be reported on the 1202 form approved.
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