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II. COMPANY DETAILS <br />1. NAME OF AMBULANCE SERVICE: Senior Resource Association, Inc. <br />MAILING ADDRESS: 4385 43rd Avenue <br />CITY Vero Beach COUNTY Indian River <br />ZIP CODE: 32967 BUSINESS PHONE: 772-469-3151 <br />2. TYPE OF OWNERSHIP(i.e. Private, Government, Volunteer, Partnership, <br />etc.): <br />Private Non -Profit <br />MANAGER'S NAME: Karen Deigl <br />ADDRESS: 694 14th Street Vero Beach Florida 32960 <br />PHONE #: 772-473-2935 <br />4. PROVIDE NAME OF OWNER(s) OR LIST ALL OFFICERS, PARTNERS, <br />DIRECTORS, AND SHAREHOLDERS, IF A CORPORATION (attach a <br />separate sheet if necessary): <br />NAME <br />Karen Deigl <br />ADDRESS <br />694.14th Street <br />POSITION <br />CEO <br />Jennifer Johnson <br />1876 Grey Falcon Cir SW <br />CFO <br />Cheryl Stephens <br />8132 NW Greenbank Cir <br />CPO <br />5. PROVIDE NAMES AND ADDRESSES OF AT LEAST THREE (3) LOCAL <br />REFERENCES <br />NAME <br />Phil Matson <br />ADDRESS <br />1801 27th Street <br />PHONE # <br />772-226-1455 <br />Sharyne Wishard <br />4225 43rd Avenue <br />772-226-3857 <br />Beth Martin <br />1800 27th Street <br />772-226-1287 <br />147 <br />