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Protecting, MaintainingandImprovingtheHealthofAllMinnesotans Electronically delivered July14,2021 Administrator NorthRidgeHealthAndRehab 5430BooneAvenueNorth New Hope,MN55428 RE: CCN:245183 CycleStartDate:June25,2021DearAdministrator:
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Obtain Form 417A effective July 29, 2021.
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Submit the filled-out Form 417A effective July 29, 2021 as per instructions provided.

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Anyone who is required to fill out Form 417A effective July 29, 2021 as specified by the governing authorities.
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417aeffectivejuly29 is a tax form used to report information related to deferred compensation plans.
Employers who offer deferred compensation plans to their employees are required to file 417aeffectivejuly29.
417aeffectivejuly29 can be filled out online or sent by mail with the required information about the deferred compensation plans.
The purpose of 417aeffectivejuly29 is to report information about deferred compensation plans to the IRS.
Information such as the name of the employer, employee, and details of the deferred compensation plan must be reported on 417aeffectivejuly29.
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