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Attachment to <br />Statement of Information 8I -550A <br />(California Stock and Agricultural Attachment <br />Cooperative Corporations) <br />A. Corporation Name <br />CARE AMBULANCE SERVICE, INC. <br />B. 7 -Digit Secretary of State File Number, <br />.C1432655 <br />;18-650101 <br />This Space For Office Use Ont <br />C. List of Additional Direetor(s)— If the corporation has more than one director, enter the additional tlirectors' names and addresses. <br />so. First Name <br />Dan <br />!Addle Name <br />Last Name <br />I Richardson <br />SurtIY <br />Address <br />1517 West Braden Court <br />Ciy(wabbreviadons) <br />Orange <br />Stare <br />CA <br />Zip Code <br />92868 <br />5e Flrst Nemo <br />Troy . <br />Middle Nemo <br />Last Name <br />Hagen <br />sulfa <br />' Address <br />1517 West Braden Court <br />City (w abbreulaaonte <br />Orange <br />Slate <br />CA • <br />ZlpCude- <br />92868 <br />5d. Flnd Name <br />Matt <br />Middle Name <br />last Name - <br />Gallagher <br />Sulfa <br />Address <br />1517 West Braden Court <br />City (no ebbreNedons) <br />Orange <br />State <br />CA <br />7Jp Code <br />92868 <br />Se. Flist Name <br />All <br />Mlddie Ndma <br />Lest Name <br />Mian <br />Suffix <br />Acidness <br />1517 West Braden Court <br />City (no abbmdeaom) <br />Orange <br />State. <br />CA <br />Zip Code <br />92868 <br />Sf. First Name <br />Mille Name <br />Les! Nema <br />Suabt <br />Address <br />City (no abbrevledons)' <br />State <br />Zip Code _ <br />aa. First Name <br />Mole Name <br />Lest Name• <br />surix <br />Address <br />City (no abbreNadons) <br />State <br />Zip Code <br />SL First Name <br />Middle Naive <br />last Name <br />Suffix <br />Address <br />City (no abbreviations) <br />state <br />Zip Code <br />Si. First Name l:. 'Ole... '. p: •i <br />Middle NamLast <br />Name <br />Sulfa <br />Addresa <br />City (no abbnevla0uns) <br />'State <br />LD Coda — <br />51. Flint Nam <br />Middle Name <br />Lest Nema <br />Slllflx <br />Address <br />Ciry(no abbWaV03) <br />Sate <br />Zip code <br />Sl.SsaA- Attachment (EST 112016) 2� , <br />250-207 <br />2076 Caftnis SetrabryofShata <br />wlawsos.agovlhusinesslhe <br />