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FOR BHF USELL1
2017
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2017)I.DPH License ID Number:
Facility
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What is 21 owner or key-man?
The 21 owner or key-man refers to a specific form or designation that identifies individuals within an organization who hold significant ownership or key management roles.
Who is required to file 21 owner or key-man?
Organizations and businesses that meet certain criteria related to ownership structure and key management must file the 21 owner or key-man form.
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To fill out the 21 owner or key-man form, you need to provide details about the individuals recognized as owners or key persons within the organization, including their personal information and roles.
What is the purpose of 21 owner or key-man?
The purpose of the 21 owner or key-man form is to ensure compliance with regulatory requirements and to maintain transparency regarding ownership and management structures within businesses.
What information must be reported on 21 owner or key-man?
The 21 owner or key-man form typically requires the reporting of individual names, addresses, ownership percentages, and roles within the organization.
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