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Form 4423 (4-2014)

ICR 201411-1545-073 · OMB 1545-2251 · Object 53286401.

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Document Metadata
File Typeapplication/octet-stream
File TitleForm 4423 (4-2014)
SubjectApplication for Filing Affordable Care Act (ACA) Information Returns..
AuthorSE:WI:CAS:EPSS:OS
File Modified2014-12-01
File Created2014-04-18
Conversion Statefailed_conversion