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Please note that this Power of Attorney is limited only to discussing the penalties proposed for late filing <br />of Forms 1094-C and 1095-C for tax years 2016 and 2017. It does not override or revoke any other IRS <br />Power of Attorney you may have on file for any other matters. Further, your group will have the ability <br />to approve any resolution or settlement negotiated with the IRS on your behalf. <br />I also understand that you may need to seek approval from your group's governing body in order to <br />designate an authorized official within your organization to execute the enclosed Power of Attorney. <br />With that in mind, I have enclosed a model memo explaining the issue and purpose of the resolution, <br />and a model resolution to be adopted for this purpose. <br />The deadline to respond to the IRS for many Member groups is September 12, 2019, so your prompt <br />attention to this matter is very important. If you receive any correspondence from the IRS concerning <br />the 1095-C forms in the coming days, please send my office a copy via email to <br />3 For questions about the enclosed Form or the penalty matter in general, <br />please feel free to contact my office at (512) 719-8349. <br />Sincerely, <br />Leah Simon <br />General Counsel <br />Enclosures: TML Health Board Resolutions 19-05, 19-06 and 19-07; <br />Power of Attorney Form (IRS Form 2848); <br />Model Memo for Consideration of Resolution Agenda Item <br />Model Resolution Authorizing Power of Attorney <br />(''Lapj'd, , w €.f,51 <br />�'ilVll,rre„��h 821 fHhjtu'rk,)rc',fl nnr,Sultf '00, <br />Aus in f o,a; ?8E 54 j`) l ur l na., rr, of <br />I�Fl 13 <br />IM <br />( 12� 71.9 6500 ^- (00M 282 5385 �ei[lit ,„�llYf2iti�C Y�f".wil C <br />