Form 1094-C - Transmittal Of Employer-Provided Health Insurance Offer And Coverage Information Returns - 2015 Page 3

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Form 1094-C (2015)
Page
Other ALE Members of Aggregated ALE Group
Part IV
Enter the names and EINs of Other ALE Members of the Aggregated ALE Group (who were members at any time during the calendar year).
Name
EIN
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EIN
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1094-C
Form
(2015)

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