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WAGNER CPA LLP 2921 LANDMARK PL STE 300 MADISON, WI 537134236UNITED WAY BLACKHAWKS REGION, INC. 205 N MAIN ST, 101 JANESVILLE, WI 535453062!5354530627!126340 040121PUBLIC DISCLOSURE COPY STATE REGISTRATION
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Obtain a copy of the 911002 form for public disclosure.
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Fill out all required fields on the form including name, contact information, and details of the incident being disclosed.
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911002 - public disclosure refers to a form that needs to be filed to disclose certain information to the public.
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