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PRINTED: 04/28/2021 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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6310 Mount Herman Church is a form used for reporting contributions received by a church or religious organization.
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Form 6310 Mount Herman Church should be completed by providing information about the contributions received by the church or religious organization.
The purpose of form 6310 Mount Herman Church is to report and document contributions received by a church or religious organization.
Information such as donor details, contribution amounts, and dates must be reported on form 6310 Mount Herman Church.
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