Township Council Meeting — Packet

D. ACA Annual Reporting Totals below are estimates based on quantities provided to Primepoint in the discovery process. Billing will be based on the number of unique employees paid each month. NAME RATE Per 1095C • $10.00 QTY SUBTOTAL 826 $8,260.00 This includes employees and retiree forms. Total ACA Reporting Fee Document Ref: 2MTQL-THVKB-8RYDE-6Y7VF 11 $8,260.00 Page 11 of 30