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FOR BHF USELL1
2019STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2019)
I.DPH License ID Number:
Facility
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What is coffee and gift shops?
Coffee and gift shops are establishments that sell coffee beverages and a variety of gift items.
Who is required to file coffee and gift shops?
Owners or operators of coffee and gift shops are required to file reports.
How to fill out coffee and gift shops?
The reports for coffee and gift shops can be filled out online or submitted in person at the designated office.
What is the purpose of coffee and gift shops?
The purpose of coffee and gift shops is to provide customers with a place to enjoy coffee and purchase gifts.
What information must be reported on coffee and gift shops?
Information such as sales revenue, inventory levels, and expenses must be reported on coffee and gift shops.
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