To satisfy the requirements for Proof of Eligibility of a Small Employer Group, the following documents are required:
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Sole Proprietor
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Submit all applicable documents:
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Must submit one of the following:
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- Sole proprietor
- Franchise
- Limited Liability Company
- Operating as a sole proprietor or
- Single member LLC
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- Filed Assumed Name Certificate (Fictitious Name or DBA)
- Filed Certificate of Organization (only required for LLC)
- Filed Business License
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- IRS Form 1040 C or 1040 F
- IRS Form 1040 SE
- IRS Form 1040 ES (estimated tax)
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Sole Proprietor
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Submit all applicable documents:
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Must submit one of the following:
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- Partnership
- Limited Liability Partnership (member)
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- Partnership Agreement (Filed)
- Filed Assumed Name Certificate (Fictitious Name or DBA) if applicable
- Filed Certificate of Organization (only required for LLC or LLP)
- Filed Business License
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- IRS Form 1065 schedule K-1
- IRS Form 1040 SE
- IRS Form 1040 ES (estimated tax)
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Sole Proprietor
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Submit all applicable documents:
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Must submit one of the following:
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- Limited Liability Company operating as a corporation
- C-Corporation
- Personal Service Corporation
- S-Corporation
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- Filed Assumed Name Certificate (Fictitious Name or DBA)
- Articles of Incorporation or Statement by Domestic Stock (complete, including name of officers, shareholders and directors)
- Filed Certification of Qualification (if incorporated in a different state)
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- IRS Forms 1120, 1120 A or 1120
- W (C-Corp & Personal Service Corp)
- IRS Form 1120 S schedule K-1 or
- 1040 ES (estimated tax) (S-Corp)
- IRS Form 8832 (Entity Classification; for LLC’s treated as a Corporation)
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