IMPORTANT HEALTH COVERAGE TAX DOCUMENT AVAILABLE

Your Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, is available upon request.

Form 1095-C provides information about the health coverage offered to you by Center for Nutrition & Health Impact during 2025.

To request a copy of your Form 1095-C, please contact us using one of the methods below:

• Email: jmawson@centerfornutrition.org

• Mailing Address: 20306 Elkhorn Drive, Suite 215, Omaha, NE 68022

• Phone: (402) 781-4943

Please include your full name, current mailing address, and the tax year for which you are requesting the form.

A copy of your Form 1095-C will be provided to you within 30 days of your request.

Former employees and other individuals who were enrolled in our health plan during the applicable tax year may also request a copy.