Jennifer Leugers Nandkumar Prabhakar Karlekar Rakesh Roy Ramya Tantry shyam sharma

Hi Chris Finocchio,

Below employee shows details as per the excel on 1095C PDF. These employees are referred from City of Durham Final Corrections 6.21.17.xlsx
Please refer latest run for the 1095C PDF corrections.

LINDA BROWNING
JENNIFER LEAF
Teresa Knight
ANTHONY ALLEN
Michael Honeycutt
Elizabeth Goodwin
Susan Ray Scott

Donna Long Employee PDF is not available as 1H/2A for all 12 months and Part 3 is to be marked. However we do not furnish PDF's of those EE who have 1H/2A all 12 months as it depicts that EE was not an Employee in 2015 and did not have any offer. We have not done changes to this EE.

Thanks,
Sachin Hingole

Nandkumar Prabhakar Karlekar

1 left. COBRA recipient D. Long - she is not an employee but had COBRA coverage for May-Dec. I think a 1G for all 12 months will work with Part III checked for the months where she had coverage. See spreadsheet loaded today.

COBRA recipient who was not employed at any time during the year but had COBRA coverage May-Dec. I think 1G for all 12 months with just the months covered in part III checked. See attached spreadsheet. Password remains the same.

Sachin Hingole

Requested changes are done.
Please re-run and verify.

Nandkumar Prabhakar Karlekar shyam sharma Rakesh Roy Ramya Tantry

Hi Chris Finocchio,

Done the changes for Donna Long employee, as per latest excel.
Please refer latest run for the corrected 1095C report of Donna Long.

Thanks,
Sachin Hingole