Court filing

Exhibit D — Alliance Hospice Care, LLC v. United States (Dkt. 1-5, Fed. Cl.)

Summary

Exhibit D to the complaint in Alliance Hospice Care, LLC v. United States, No. 1:24-cv-01547, filed October 1, 2024 in the United States Court of Federal Claims as Document 1-5, is an account transcript for Form 941, tax period December 31, 2020. It records tax per taxpayer of $25,194.50 on a return processed May 24, 2021, against seven federal tax deposits. Later entries record an amended tax return or claim forwarded for processing, a duplicate return filed and an appointed representative. The transcript shows an account balance of $0.00 as of September 30, 2024.

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Filed October 1, 2024 in Alliance Hospice Care, LLC v. United States; one of 9 filings from this case.

Record facts

Court	U.S. Court of Federal Claims
Filed	2024-10-01

Cite this document

“Exhibit D — Alliance Hospice Care, LLC v. United States (Dkt. 1-5, Fed. Cl.).” U.S. Court of Federal Claims, No. 1:24-cv-01547, Doc. 1-5, filed 2024-10-01. Archived at Pandemic Darlings, https://pandemicdarlings.com/court-filings/alliance-hospice-care-llc-v-united-states-of-america/2024-10-01-exhibit-5-to-dkt-1/, SHA-256 b60cb5a2d225436469e1dce75fbdfdba2fc1db2e35daca3266e69567451700ad.

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Full text

Case 1:24-cv-01547-EMR Document 1-5 Filed 10/01/24 Page 1 of 1                                               EXHIBIT

                                                     This Product Contains Sensitive Taxpayer Data                                     T>
                                                         Account Transcript

                                                                                                                      Request Date:       09-24-2024
                                                                                                                     Response Date:       09-24-2024
                                                                                                                   Tracking Number:     106623390176

FORM NUMBER: 941
TAX PERIOD; Dec. 31, 2020



TAXPAYER IDENTIFICATION NUMBER: XX-XXX0291



ALLI HOSP CAR LL
IRIN GOLD MB
36 JAC
«<<FOWER OF KSSCKSEX/TKX. INECEMA'CICN AUIHCRIZB'TICN (Kft/TIA) CN EII£»»

           ANY MINUS SIGN SHOWN BELOW SIGNIFIES A CREDIT AMOUNT —


ACCOUNT BALANCE:                                 $0.00
ACCRUED INTEREST:                                $0.00 AS OF: Sep. 30, 2024
ACCRUED PENALTY:                                 $0.00 AS OF: Jan. 31, 2021


ACCOONT BALBNCE PLUS ACCRUALS
(THIS IS NOT A PAYOFF BMOUNT) :                  $0.00


               ** INFORMATION FROM THE RETURN OR AS ADJUSTED **
TAX PER TAXPAYER: $25,194.50


RETURN DUE DATE OR RETURN RECEIVED DATE (WHICHEVER IS LATER) Jan. 31, 2021
PRCX:ESSED DATE May 24, 2021



                                                                    TRANSACTIONS

CODE EXPLANATION OF TRANSACTION                                                                CYCLE DATE                                AMOUNT

150 Tax return filed                                                                           202118 05-24-2021                        $25, 194 .50

n/a 09141-123-35061-1

650 Federal tax deposit                                                                               10-14-2020                        -$3, 027 .44

650 Federal tax deposit                                                                               10-28-2020                        -$2, 928 .16

650 Federal tax deposit                                                                               11-12-2020                        -$3, 083 .02

650 Federal tax deposit                                                                               11-25-2020                        -$3, 052 .14

650 Federal tax deposit                                                                               12-09-2020                        -$4, 134 .92

650 Federal tax deposit                                                                               12-23-2020                        -$4, 611 .40

650 Federal tax deposit                                                                               01-06-2021                        -$4, 357 .42

971 Amended tax return or claim forwarded for processing                                              07-14-2023                              $0 .00
976 Duplicate return filed                                                                            07-14-2023                              $0 .00
n/a 389T7-623-04477-3

960 Appointed representative                                                                          07-12-2023                             $0 .00
290 Additional tax assessed                                                                    202352 01-15-2024                             $0 .00
n/a 17154-757-16021-3


                                                   This Product Contains Sensitive Taxpayer Data

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SHA-256: b60cb5a2d225436469e1dce75fbdfdba2fc1db2e35daca3266e69567451700ad
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