Name:	Medcorp Mobile Medical Services, Inc
Real Party In Interest:
Type of industry:	Medical
Address:	745 Medcorp Drive
Address 2:
City:	Toledo
State:	OH
Zip Code:	43608
Contact Person:	Jay Lowenstein
Phone:	(419) 727-7000
E-Mail:	jlowenstein@medcorpinc.com

III. Brief description of the Executive Agency Decision(s) to which this engagement relates:
Decisions which would have an impact on the employer
IV. Categorical listing of offices of Elected Executive Officials, Departments or Executive Agencies to which the engagement relates:
Administrative Services
Attorney General
Auditor of State
Budget & Management
Commerce
Development - Inactive
Emergency Management Agency
Emergency Medical Services
Governor
Medical Transportation Board
Secretary of State
Controlling Board - Inactive
Taxation
Transportation
Treasurer of State
Lieutenant Governor