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Santa Ana California Form 1125-A: What You Should Know

You will need a valid photo identification, such as a driver license, to complete this form along with your completed Form 1120-A and all attached documents. The appointment must be scheduled 3 months in advance of your appointment time date.  Form 1120-A — IRS  Section 3.1 — Special Qualifications for Certain Exempt Organizations (see: Section 3.2 — Specific Special Rule for Certain Exempt Organizations)  Section 3.3 — Special Qualifications for Certain Federally Recognized Health Professionals  Section 3.4 — Special Qualifications for Certain Exempt Persons  Section 3.5 — Special Qualifications for Certain Exempt Organizations (see: Section 3.11 — Reasonable Cost for Exempt Organization (see:) Sec. 3.15 — Minimum Wage (see:) Sec. 3.16 — Special Qualifications for Exemption Organization (see:) Sec. 4.0 — Special Exempt Organizations (see:) Hospitals, Medical Service Providers, Nurses, Medical and Dental Clinics, Clinical Laboratory Services, Medical Equipment and Supplies, Health Professions and Other Medical Equipment Request for own driver license/ID vehicle Keep a copy of the completed form for your records. SECTION 1 — INFORMATION REQUESTED. IN PERSON REQUESTS — Current Records only — 5.00 for each record (Qualifications You Will Receive After Approval. You can be exempted from the penalty if: You meet or exceed the applicable average level of earnings from all sources for 90 consecutive months. You have been enrolled as a full time student at an accredited college, university, or trade school for at least 12 months, without interruption, except a break of 60 consecutive days, during the period of time of employment. Furthermore, you are the owner of an exempt organization that has made a bona fide investment of time, money, or other resources in the establishment or operation of a health and charitable health center or health care provider, except an organization which has not made an investment for not less than five years and, if the investment had been in an enterprise conducted as a separate business, had not been active for five years after its incorporation, and you must have been actively involved in operating the qualified establishment for three of the five years during which it has operated as a separate business under a separate name. Sec. 4.

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