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Ii civil iii I will ililililil IL ill f i ti iii ti is ii iii *110812O1420100103* HEALTH QUARTERLY STATEMENT As of September 30, 2014, of the Condition and Affairs of the Harbor Health Plan, Inc.
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ii iiiili tiii i is a tax form used to report certain business transactions to the IRS.
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ii iiiili tiii i can be filled out online or by mail, following the instructions provided by the IRS.
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