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PRINTED: 10/20/2023 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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The 1023 form is the application for recognition of exemption under section 501(c)(3) of the Internal Revenue Code, allowing organizations to apply for tax-exempt status.
Organizations seeking tax-exempt status as charitable organizations under section 501(c)(3) are required to file the 1023 form.
To fill out the 1023 form, organizations must provide detailed information about their structure, governance, and programs, including a narrative of their mission, financial data, and organizational policies.
The purpose of the 1023 form is to demonstrate that an organization operates as a charitable entity and meets the criteria for federal tax-exempt status.
Information reported on the 1023 form includes the organization's mission statement, activities, finances, governance structure, and any compensation paid to directors and officers.
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