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COMMUNITY BENEFITS PLAN – REPORTING FORM

Pursuant to RSA 7:32-c – l

FOR FISCAL YEAR BEGINNING: April 1, 2007

Community Health & Hospice, Inc. 02-0324948
Organization Name Federal Tax Identification #

780 North Main St. 1572
Street Address State Registration Number
Laconia, NH 03246
City      State Zip Code


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