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Form 4423 (Rev. 3-2016)

ICR 202105-1545-003 · OMB 1545-2251 · Object 111391301.

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application/octet-stream
Form 4423 (Rev. 3-2016)
Application for Filing Affordable Care Act (ACA) Information Returns
SE:WI:CAS:EPSS:OS
2016-04-12
2016-04-12
complete