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Participant ID: Discovery Site: CRF Date:__ __ __ __ __ __Pin #__ ____ __ __ __Clinical Center__ __Visit #:__ ____ __/__ __/__ __ __ __Interstitial Cystitis Symptom Index and Problem Index0B(OLeary,
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Form 5471 (referenced as F to SE age) is an information return to report certain information regarding foreign corporations in which U.S. persons are participating.
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Information that must be reported includes the corporation's income, deductions, balance sheet, changes in stock ownership, and details about U.S. shareholders.
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