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II. COMPANY DETAILS <br />1. NAME OF AGENCY: The Arc of Indian River County, Inc. <br />MAILING ADDRESS: 1375 16th Ave <br />CITY Vero Beach <br />ZIP CODE: 32960 <br />COUNTY Indian River <br />BUSINESS PHONE: (772) 562-6854 <br />2. TYPE OF OWNERSHIP(i.e. Private, Government, Volunteer, Partnership, <br />etc.): <br />Non -Profit Corporation <br />3. MANAGER'S NAME: Heather Dales, CEO <br />ADDRESS: 1375 16th Ave, Vero Beach, FL 32960 <br />PHONE #: (772) 562-6854 <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 ADDRESS <br />(Please see attached list of Board of Directors) <br />POSITION <br />5. PROVIDE NAMES AND ADDRESSES OF AT LEAST THREE (3) LOCAL <br />REFERENCES <br />NAME ADDRESS PHONE # <br />Treasure Coast Automotive 1795 8th Ct, Vero Beach, FL 32962 (772) 794-9061 <br />Level 4 Telecom 100 SW Albany .Ave, Ste 110, Stuart, FL 34994 (772) 873-7753 <br />Como Oil of Florida 1701 Commerce Ave, Vero Beach, FL 32960 (772) 562-6666 <br />UABeth\Beth Casano EOC\COPCN\RENEWAL PACKETS\COPCN ApplicationAcc � 46 <br />