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May 31, 2023, THIS LETTER SENT VIA EMAIL Mr. James G. Scott, Director Division of Program Operations Medicaid and CHIP Operations Group Centers for Medicare & Medicaid Services 601 East 12th Street,
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Obtain a copy of the SPA 23-0005 form.
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Fill out the required information such as date, name, address, and contact details.
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Provide details of the pending spa transaction including type of spa, price, and any additional terms.
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Sign and date the form to certify that the information provided is accurate.
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Submit the completed form to the relevant department or agency for processing.

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Individuals or businesses involved in a pending spa transaction that requires documentation and approval.
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It is a form used to report pending sales of securities.
All individuals and entities engaged in the sale of securities are required to file spa 23-0005 pending spa.
The form can be filled out electronically or by hand, providing details of the pending sales of securities.
The purpose is to provide transparency and ensure compliance with regulations regarding the sale of securities.
Information such as the name of the security, number of shares, price, and expected closing date must be reported.
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