SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
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OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
ALLEN FAM HC SVC LLC
 
Employer identification number

84-4227417
Return Reference Explanation
PART III LN 4 PROVIDING HEALTH CARE TO PATIENTS WITHIN THE COMMUNITY
PART III LN 3 DUE TO COV PROVIDED VIRTUAL SERVICES IN ADDITION TO OFFICE VISTIS
PART VI SEC A LN 1A MANAGING OFFICER IS TERRIE ALLEN
PG 7 PART VII LN D OFFICER RECEIVED MISC INCOME FOR SERVICES PROVIDED
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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