MULTI-ENTITY ACA REGISTER Reporting year / register version: Group scope reviewer / decision reference: EMPLOYER ENTRY Legal name / secure EIN reference: Ownership or group periods: Payroll company codes / HR employer keys: Plan arrangements and effective dates: Source documents: Preparer / employer approver: Authoritative summary owner: Expected population / unresolved issues: Vendor account mapping checked: TRANSFER ENTRY Internal person key: Origin employer / receiving employer: Relevant start and end dates: Concurrent employment or overlapping records: Supporting employment history: Review decision / reviewer / date: Both employer packets updated: CHANGE CONTROL Register version before / after: Reason and effective date: Affected packets / regeneration required: Approvals refreshed: COMPLETION Employer | Approved version | Filing outcome reference | Open obligations