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PRINTED: 11/30/2020 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 printed 1130 - form?

The printed 1130 form is a tax form used by certain corporations to report their income, deductions, and credits to the Internal Revenue Service (IRS).

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Corporations that are classified as a C corporation and that meet certain criteria regarding their income and business activities are required to file the printed 1130 form.

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The information that must be reported on the printed 1130 form includes total income, allowable deductions, tax credits, and the balance of tax due or refund.

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