ࡱ>  xbjbjWW 4855x5{}}}}}}$}}\\\ {\{\\;wv)Sg0[,\}} : AHA RACTrac Compatible Contact Sheet Please fill out the information requested below and return to RACTracsupport@providercs.com Please note in the subject line of the email: Vendor Contact Sheet QuestionVendor Response1) Company Name2) RAC Product Name 3) Name and Contact Information for AHA (and PCS) This should be the individual in your organization who understands Medicare RACs and can make decisions about RACTrac compatibility If you are receiving this questionnaire, then by default you are currently an AHA contact. Please indicate who the primary contact should be. 4) Name and Contact information for SALES Information on RACTrac vendor list is most appropriateProduct Information (This is for AHA Internal Use only and will not be shared) 1) Is your RAC management tool web based? (Yes or No) If no, what type of application is it? 2) How many hospitals have currently purchased your product as of April 1, 2014? 3) How many of your hospital customers currently submit data to RACTrac?RACTrac Compatibility 1) Does your company currently anticipate that efforts will be made to update your management tool to RACTrac 2014 Compatible status?2) What is your timeframe to incorporate required changes to maintain RACTrac-compatible? Please provide an anticipated date for providing the specified test file.3) Do you anticipate creating a report for hospitals to run or creating the CSV file? 4) Do you anticipate that the user will have to select the AHA RACTrac variables in the application or does your application do it for them behind the scene? 5) Who will AHAs point of contact be for testing and validation that the application meets all requirements for compatibility?  Product Description (~1-2 paragraphs this will be posted on the AHA web site) Note: this is only necessary if you would like to change what is currently posted $%c5 ? A b f S T _  ~l~ZHZHZ~6~Z~#hh6x5CJOJQJ^JaJ#hh6x6CJOJQJ^JaJ#hh'A%6CJOJQJ^JaJ#hh]5CJOJQJ^JaJ#hh'A%5CJOJQJ^JaJ#hh 5CJOJQJ^JaJh 6OJQJ^J$huh 6B*OJQJ^Jphh]5B*OJQJ^Jph$huh'A%5B*OJQJ^Jphh'A%h&Y5OJQJ^Jh'A%h'A%5OJQJ^J%Nkd$$Ifl0@%p  t0@)644 lapyt $Ifgd $a$gd $a$gd'A%xrr$If}kd$$Ifl0@%p t0@)644 layt $Ifgd gaa$Ifkdo$$Ifl0@%p  t0@)644 lapyt {{$If}kdA$$Ifl0@%p t0@)644 layt  A T U {{{$If}kd$$Ifl0@%p t0@)644 laytU V {{{$If}kd{$$Ifl0@%p t0@)644 layt {{{$If}kd$$Ifl0@%p t0@)644 layt n o & ɷuduR@u#hh\5CJOJQJ^JaJ#h\h\5CJOJQJ^JaJ h\56CJOJQJ^JaJh\5CJOJQJ^JaJ#hh0u5CJOJQJ^JaJ#hhd5CJOJQJ^JaJh0u5CJOJQJ^JaJ#hh'A%5CJOJQJ^JaJ#hh'A%6CJOJQJ^JaJ#hh6x6CJOJQJ^JaJ#hh 5CJOJQJ^JaJ D l m gaaa$Ifkd$$Ifl0@%p  t0@)644 lapytm n xo $Ifgd'A% $Ifgd}kd$$Ifl0@%p t0@)644 layt xo $Ifgd'A% $Ifgd0u}kd$$$Ifl0@%p t0@)644 layt $ % xx $Ifgd'A%}kd$$Ifl0@%p t0@)644 layt% & e\S $Ifgd'A% $Ifgd\kd^$$Ifl0@%p  t0@)644 lapyt U V xo $Ifgd'A% $Ifgd0u}kd4$$Ifl0@%p t0@)644 layt T U W X .LQR&xϽὮxh0uh0u6OJQJ^JhP,5OJQJ^Jh]5OJQJ^J#hh 5CJOJQJ^JaJh\5CJOJQJ^JaJ#hh'A%5CJOJQJ^JaJ#hh'A%6CJOJQJ^JaJh0u5CJOJQJ^JaJh5CJOJQJ^JaJV W xx $Ifgd'A%}kd$$Ifl0@%p t0@)644 layt OPxx $Ifgd'A%}kdn $$Ifl0@%p t0@)644 laytPQxo $Ifgd'A% $Ifgd6x}kd $$Ifl0@%p t0@)644 layt&xvv@^@gdP,}kd $$Ifl0@%p t0@)644 layt21h:p / =!"#$% $$If!vh5p5#vp#v:V l  t0@)65p5apyt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l  t0@)65p5apyt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l  t0@)65p5apyt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l  t0@)65p5apyt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l t0@)65p5ayt$$If!vh5p5#vp#v:V l t0@)65p5ayt^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List jj 'A% Table Grid7:V06U 6 'A% Hyperlink >*B*phP P \ Balloon TextCJOJQJaJmHsHtHN/!N \Balloon Text CharCJOJQJ^JaJPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] x 8 x U m % V Px 8@0(  B S  ?zz3  no &TWXLLQR%wz  no &TWXLLQR wzARj@hhh^h`OJQJo(hHh88^8`OJQJ^Jo(hHoh^`OJQJo(hHh  ^ `OJQJo(hHh  ^ `OJQJ^Jo(hHohxx^x`OJQJo(hHhHH^H`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHAR         2/1/H  w'O-s-4u6DHlMNNVQXZu\`ddehhDmoqs x}=7 W ] Ui#X7$ &4([,0 11723315X7j991<?fD!ELMMMXZ?\k`eaace t uvv${~ 4 ,0E2G5_@EIO/O>R9S [Q`eeffh mns x~R . %)b-g-.1236<?C[DDK6L NU$UjVV W\cchEmm]oNppqt@tjvJwwxo||&}~eHf Mi &^(8<>ADxEFFvI JMPY[\O_H` bcdklmn}~0 [: V"y#Y)*;*P/149@BCtEII3JJHL9M%NgQqQ*RUcVVYQ\w\]^d"ihoxprvwxoQ!!#--28:;;;=DIJKLXY>[o]*`afg&hZhjnvv_yz}&}~ XIoMg'*,/1#6F7m8<'=.>>2A6ADFGJKPWHXzXZZ=]^o2rEsu|{~-i u /KAj"L#l##$)&(u)#*+,-/T1269:A:\<"DF`HPrQpRRBSK[K]_``aefmpqrsux|z}2I          Z # $ 4 5 < < C D gE J K Q U V 7Z 4] y] 3^ ^ Qd s u x |  q   k  D   U       " 3# y$ ' -( * + 4, - 8 *9 9 : U< q= ? B E K T U X Y [ >\ _ a jb d d g g i i ]k ,n n s et )w  6 K    ) A  % ) + - 1 3 3 L4 {4 4 @7 }7 99 B I K *K *L M R mS T lZ ^ _ 0d d @l ]n r fz z #| ~ + "  , t   C I "! , I. . -1 t6 6 7: < 9@ XD D E {I ~L M >Q Q U dW Y Z\ \ >` d h h Vq w z h} p  ?       9 8 ? @   %    ~$ %% W( - 0 1 1 2 z4 |6 8 ;= ;E F G VH I YJ J J M :P V z\ \ ^ _ _ Kc ye f h h k n o zp u u x { p te9  N!e!!$'|)9+ -:2>ICjEIQJLMPJZocfhlmo~z*{}~EJK]. }M"#&,-114B88{@ADBiCGGGJST ]@]k`addklorpptu~|~]mp   /C !""$)),33;<@,ENTWWZu[\`]]L`}`>cRchjl&n8oryf~>-  C lU #$:),1 55:F?CCH9M2QSUIV[na^c.dd8goUrNttuuwy-z|)}; f}Ve@#'J+227=>VACCDDMEGLPQTUpVvZZz[[f^^^fjHllnrl  If b)w*,,,-MPyQTU\M]W]^ `+a dghhk>pStuvwz{~I.Y(H""#{&&'D)0-.13 667;;>8CCDLFH6IJMMpOOTUVVY]]_`(afiikl}mmun\qz}T*S  j%\,cE"c'(066L8D:&;CCHJOMENOnS]7^`ab^k&qltuw~c0 ZYe2x#y$$V&+)-,225!:{>?TAyDGFHMMLOORSUU}VWbXb\]=^lqszz|~}Y$\ t"I##'u*+4.02227:@7T7t=@BDIJLEPRTEZiZZ4[`ab_jjRlmn:pFp&tdwz"9r  D  z$ //0D22T6~7M8<>?APHHvIJOTlUV9W$XZ4[dWix%zzB}`? 6ITJ 9!#&w.1357(9:<f>g?#A)DhEK0U!^^gjklprswwx{B|}V`  9l& ,$G*,'.3W<:@s@@KLQJYm^v^^2_SabceeMhikn~+H  $={&"'M(Z00i346.@zAAKMNNZ*]`bb*ij mqrv~XL 0![(V**+,b-y5695;=,>_?:FqGH]II5JKdLiMEN@OLRTT_abdps"ww}xx/yz8z%}}Z~R.      x^I#%)W)+Z-39 :I,I{INNiPPNTZ[^__dg mou){F|s^  /Z  !f%E&/:/S//3 44y5u79;???L@EWEI!JsLM TTXZZx_c`aMbhstxyj  V k   _ 1' _( Z- 2 2 A5 5 p9 9 < N> @ JE I I NM N O T W W ] ^ ^ '_ ` a Jb c _n Ao o t v rz z U{ } (!!6!!! !P !2!!!!!!!!!E#!&!P'!,!0!%2!5!5!%'A%D%&J%aM%bN%S%T%2Y%`%8a%Kc%xi%;n%kq%"u%v%}%~%e&&&&&& & & &&$&g&~&&*&?&&&&F$&)&`1&j5&8&;&=&K>&?&B&2C&F&{G&J&U&W&a&h&h&Gi&Zn&s&u&u&v&7z&|&''r'' '? 'P '''$'''',' 'F"'#'%'('0'1'e5'6'7'9'g='='>'_A'mF'G'G'H'I'J'IL'O'P'pU'U'gZ'V\'~\''d'f'o'q'fr'(x((( ( ((((M((((_(@(u$(&('(((+(+(-(q.(N2(U2(2(c4(4(v9(=(N(Q(&T(W(,Z(\(:\(5]('^("b(Nc(vh(q(q(s(v(@w(w(j~()M))) ) ), ) )) ):#)#)l()()()))&*)-)h.)}.)j0)E2)8)8)::)A)LB)B)D)D)F) G)'H)J)M)nQ)0W)uZ)])])_)`)sd)e)Uh)i)-r)u)-w)w)R})}))*z**B****;*x * *9 * ****4**] *$*%'*;*;*>*?*A*{E*F*F*L*N*O**P* R*EU*wV*_*`*c*c**h*=i*Xk*'m*Qs*t*w*|*H* +p +++,+9++w++!+$+}'+.+0+{1+%5+'5+76+>6+*?+"A+B+C+uD+~H+L+FQ+-T+U+W+DX+]+E^+^+`+|b+{c+xe+f+m+m+/n+p+u+'x+^x+,#,,U ,,z,,q,s,;,,f, , &,),*,*,D+,0,3,4,5,6,;,;,@,3A,B,OB,8C,C,C,M,P,CS,W,[,a, c,~l,n,o,o,p,w,Aw,y,}, ,@--p-} -D------)-)-*-+-,-t-- 0- 2-8-9->-?-E-kE-F-H-H-BI-M-M-FS-X-5]-Vb-(e- k-n-x-8}-...^. . .P....u..\ . .%.*.:+.+.f2.54.]4.4.5.8.E.?G.I.L.Q.T.@U.[.<\.`.b.@d.e.Dg.h.j.m.u.u.w.-y.4 /l / /~///Q/// /K//$/T&/c*/*/$+/+/;,/)./3|B3D3dE3K35M3M3M3qN3 O3qP3Q3T3U3hW3_3d3}e3g3l3u3w38z3|3744,4e4& 444o4t 4[!4"4(+4C/4"1414v8494G:41=4A41B4F4 M4)N4~N4P4R4S4fU4[4{]4b4e4)f4Jf4ro4o4hq4q4t4t48u4_u4,v4'4555515555G5 5$5'5-515I253566565$95KA5B5F5G5H5L5U5Z5Z5c^5b5j5nr5r5s5v5v5x5-z5{556666 6B 6 6,66666w6 66&6g*6,616568696D;6;6rJ6K6 L6O6P6RQ6sR6T6;D;E;H;N;ʰ;R;a;,;k;n;;ʰ;;;ϴ;<8<<<X<^<7 <<<2<u<<<<< <!<&<o'<*<0<2<2<93<4<5<[6<=<<@<)C<D<PF<F<I<O<S<U<V<W<k`< c<c<h<o<p<r<u<lw<z<{<}<d=q=== ====@=(====!=Y(=(=*=2=B4=38=9A=FA=D=O=-P=Q=Q=V=j\=>`=Z`=ah=k=m=+o=q=`q=?s=u=u=w=yx=Sz=E{=~=b>r>>>>>G > > >>j>">>>A>>H>">8#>'>b+>+>,>.>R1>4>\8>Y9>V:>M=>>>>>@>F>0F>H>J>J>PK>bL>L>9M>JN>O>P>R>S>bU>'^>_>*a>e>f>f>_g>h>Gq>Mr>Qs>s>s>v>x>}>9~>V~>~>d? ?4??c??f?$?<?>?v?)?*?*?]/?/?%2?3?k3?+5?:?;?>?@?@?C?E?I?K?sM?aO?+T?V?#W?W?]?_? a?7c?f?k?m?o?s?s?u?{?|?~?M@@@9@ @ @@@4@@{@@@@@!@#@(@*@4@:@>@W?@?@B@aC@F@ K@M@P@5Q@kQ@Q@Q@S@ U@W@JX@Y@^@Ja@a@a@ld@d@d@e@e@2i@l@n@{p@-q@`t@t@kx@z@z@}@A.AA An A/AAAA$AAA"Au)A)AR,A-A 8A>A?AMAOAPANSA!UA-VAVAWAv[A\A aAcAfA/fAfAfA)iAoAfrAxA\~ABBGB B B B BBBBBEBBgB|B!B#B#B#B%BH'B+B,B64B9BB;BBB~EBGB8LBMB6PBUBYBA\B#`BcBeB fBvlBmB#nBoBtBZuBxByBzB}B~BBGCxCmCX C CC_CC(CC/C CA!Ce#C %C'CB)C^,C/C_3C5CC@CBCZCCCCFCJCNC2WC\C,]C+^C_CgCjCxqCwCyCDD? DDDDD"D%D(D*D,D /D/D0D8D8DjADBDhDDDDFDFD.NDPDPDPDTDUDmVD>YD%[D2_D_DgDiDiDsDwDwDzDR{DxE-E* E: E% EfEE+EE8E_!E!E #E#E.%E&E(E,EY,Ej.E0E32E2E3Ev6E7E9Ep:EEgBEyCEGEHEIEME NEOETE]WEW\ENdEdEhEUkEBlE#qErEtE'uEHuEozE\{E FF3F) FB FY FY FFFFRFFFFFYF#Fi(Fw*F*F],F,F,F@6Fm?F@FBFrDFDFeQFyTF]XF\F]F^F^F_F`FtfFiFkFXkFCoFGGpGG GGGG_GGGG!GZ#G&G8'G1G{4G8GW?GAGCGAEGEGKGGGGVIGzSGkWG[G2\G\G^GcGdGeGfGekGnG%rGsG{G~G GGHH.HHH H H HHH4HKHHH HHHHHH#H#H$HD(H#+H,H.He/H2H 5H 7H7HAHBHiDHEH^EHIHJHSJHJHTKH_LHLHmNHTHXH,YHMcHKiHiHlHmHrsHtHoxHxHyHzHk~HI3I I" I"IQIIII+ImIIII.III I"IN$I!)I*I+I0IX1I)3I3I5I5I5I7Ib;I=I>I$CICIEIHI%HIVIIIISITI]IaIqaIkcIdIgI`jIoI$qIrICxIzI{I|I4}I~I~IIMJWJJ8JJaJJTJ%JJJJJ !J%J'J:+J,J/J0J0J3J4J8J]9J;J;J=J7GJHJOJPJRJmVJa]J}bJbJeJeJgJchJhJiJjmJoJoJqJ tJIuJuJvJ!xJi{J{JT}JK*KkKK*K K1KKK#KKWK?K K K!Ke"K$K'K+K/K2K4K:K>K@KiEKGK@JKJKoKKNK'PKSK[KdKmKpoKoK^qKsKtKvKuwK|K}KKLLILLL L L LLLLLLLLLLLL;L'LLLLM L!L+$L"'L(L(L$*L*L-L{1L2LR3L8L8L:L;LM?MBBMoCMDMDMFMGMiKMKMKM8LMLMLM@MMQM{WM#[MeMlM mMinMnMtM=wMYyMyMNzMzMDNNNDN]NN NN5NNnNN NUNNw&N'N/N4N5N5N6ND8N:N?;NCNGNGNNNONPNSNTNCUNUN@]N^NbNbcNcNeNjNjNkNpNuNvNvNEwN:xN5yNR{NC|N2OG O OO[O OOOOO)Ou O$O$O]%O3&O*O.OR0O4O7O8O5:O;O䰿CDDHJʰ9ϰNPNP/QPTPZP^P^PhaPbP]dPdP0ePVjPrkPmP]nPnPpPHsPuPwPEyP\yP2zP*~PQPQMQQ%Q Q QQ_QQQ3Q>'Q.Q?QAQBQWJQJQKQLQNQQQt\Q^Q^Q!bQJdQWgQhQiQ,kQoQVsQEvQQRRR R R[ R/R?RR@RcRR5R\RR$R$R.'RW-R.R0R0R1R[3R3R4R<5RL5R6R;R=R_>R@RAR0JRJRJRNR RRRRYR_RNbRheRgRgRBjRpRD{R SXScS6SSTSSsS,"S"S"S7'S\'S,S,S/S2S3S4S5SL7S8S9S;S?S?SCSwGSJSuNSOSPS%US3\Se\S)`ScSdSgSjS$jSekSkSlS&oSoSyrSVDBVFVGVsIV|LVSV WVXVZV^V_V2aVbVbVfVgVbnVoV,sVdxVyV_zVWW3WWb W WWW=WW{WWjWwWWWW'W#W,W3W9W;WWl>WHWVIWKW:QWWWZWh[W\W`WXcWdWlWlWnWpWNvWvWmwWxWyW|Wt~W,WOWYW9XXX@XXX& XX[X>XX'X'X)X*Xq1XZ4X5XN6X`6X8X9X=X=X@XfBX+CXFGXJXJXJXKX LXLX^X`X`XeX^hXkXmXunX`qXrXMtXTvXvX{Xi|X|XL}XXY1 Y Y Y Y YYYYYYYIYYYYYP Y Y!Y9"Y"Y8$Yn$YE&Y&Y&Yc'YU+Y+Y-Y/Y3Y5Y7Y8Yw;YD\>\>\A\6F\H\H\L\hN\/Q\xV\V\V\Y\Z\e\f\ g\\g\g\"i\sj\{j\r\/w\A|\|\~\]]~ ] ]: ]]4]]T]]] ]"]b%]+]0]]0]Q1]1]3]5]5]Q>] ?]F]H]UH]I]M]~P]Q]TT]Z]W\]]]^]Pe]i]k]n])o]Lq]>t]cx]l}]g^}^|^^^^^8^B^#^%^&^!2^]6^6^I7^?^A^A^2A^3C^D^NH^H^`J^,K^DK^K^S^V^Y^$^^Rb^m^!n^p^r^#t^w^|^^d_" _b ___:___ _?__ #_'_,_q/_z1_3_5_9_]=_{@_C_H_I_J_ L_8L_L_O_ U_Y_Y_Z_^_d_+f_i_p_Tt_w_Sx_!y_}_+}_``H`` ` `! `4 ` ```5`8``v$`$`'`2)``*`-`y0`12`J4`4`4`j6`6`=`B`kI`JK`M`P`Q`S`VX`dX`/Y` Z`[` \`=\`\`_`_``Wc`Wp`9q`v`w`z`z` ~`aaDau a? aI aW aaJaaQa"a#a&a)a,a,at.a7a>a?a@aBaCa5Da:DaDajEaEaEaIa]JaVaVa fa~fa`jakaoajwaibRbn b2 bbb_bbb=bbb b #b2&b+b,b,b,b=-b#1b2b d $d^$d%d*&d[&d)d+d,dg/d0d5d9dDd=FdIdOdRdSd}[d]d2`dad\edgdSidjdIkd{mdrdrdatd3{d|dr}d>d)eeee eXeeemee]ee#e$e%e'e|)e)e6/e/e3ep9eJgDgtHgKg[Lg=Ng_NgrQgQTgUg9Vg_VgJYg[g\gdgegfg7ggggjigigEjgWjg!kgogbqgqgPtgvvghhh h hv hhhlhhghhh h4#h$h%h&h-'h(h&(h]*h 2h7hxDhKGhVIhJhJhMhOh4XhoYhZhAZhS]hahbhchfeheh(lh=lhmhVnhrhvhhiii0iiZiViv"i)i+i+i,iu/i1i!4iW4i4i5i7i8iiJ>io?i'BiaDiJiJiNiSiZi_i=ciwfigikipi}tij jjj.jjj%j!j#j#j&j(j.jI/jq:jn?nNAnDn-HnHnuInLJnJn^KnLnMnWNnOnPnRnSnUnVnKVnVn[n\n\n\n_nkanIcndn"gnDhnhn&jnilnlnpnsntn,tntns|nHooo0o o#o'o{(o(o)o-oj.o.o/o3o73o6o9o:o AoiEoEoIoKo KoLoOo PoPoRoSoSoZWoWoeholoLnoqo"uouovowo}op^ppppp pp5pppp!pVpp$p&p *pp0p~0p0pu2p2p<3p;pApDpEptFpKpvPpEVpVpVpZp\p%_p`pcpEdp4kpCnppprp(tp9tpq q?qqqcqqq q"q;$q%q'q)qT2q3qG6qm9q!;qJ;qz;qNq4@qEqEq3Lq)OqUqWq6XquZq_qaqbquqvq4xq{q}qrzrrrrrFrr0rrrdrlr'r-*rj*r4rH;r>?rArOGrGrGrHrIr0PrSrSrJWrYr[r]rbrdcrgrjrkrkrmrrr0tr0rs[ss s sW s% s s]s6sCss!s "s$s%s&sj+s,sb.s3s4s%6ss8s=;s;sI>sAsEsKsOsPsPsPsSsUsXs[s \s8^s^s`sdsesfsks0msvswsws{s{s~s2tttttt&tttttV!t"t_#t%t&t,t/tK0tI6t8t'9t:t;t"u!@u@uGuJu2Ku"QuSuCVu`WuXubucudueuoupuvuCyu{u&u7vsvUvvv8vvPvvRv$vw$v!(v*vz-vE.v.v.v/vO2v2v,5v]6vAvDvfEvGvIv(QvkTv8UvUv_v3`v,bvbvdvfv]mv qvNqvAsv~vww wwpwwww8w$w^%w(w+wz,wU-w3w9wm;wY=w=wo>w?w@w9Cw}CwVwXwKZwZwdwdwgwLkwgmwhowswtxwxwM|w~wQwXxxx x x xxx x x%xxx/xxxw#x&x+x)-x3x3x7x:x>@ӮG̳O³W^`f6l>Գn|"(*,./1318:=?𰪲6(ҲJKN󰿲RղVZ"ղefٲܲҰʲ!0$)+-5z2?z/EziFzGzNzPz QzRzSzTzUzZzf]zL^z1`zbzczfzpgzgzkzolzozqzqzmtztzxzzz|z2|z~z{q{&{{{V{y {O{{{.{{1{{({"-{.{-1{4{6{y;{?{B{C{F{[G{I{I{L{L{M{N{R{X{qY{Z{\\{a{wb{c{,e{#f{cl{p{r{s{u{@v{sy{|{2||+| |Z | | ||| |/%|)|*|+|/|1|1|N2|U3|,9|:|*<|D>|D|,H|M|M|sO|RU|U|0W|:Z|6a|a| c|?e|g|j|\l|p|t|w|z| ||A~|~|} }/}}}}}}}}Q} }} }$}$}8)}%*}?*}37})<}=}?}E}H}N}Q}T}\}_}`}a}a};c}d}m}?s}x}%y}ay}Y{}~~Q~ ~" ~~~~(~~P~~~D~M#~$~(~)~*~-~I-~5~8~>~A~jG~qI~I~I~EN~ZS~U~PV~V~3W~X~5X~X~]~'a~a~"g~kh~l~Ep~s~s~u~u~u~v~G r bCMe h $4(-58_>A`HJ|J6LLPQGTV4VMWZV\]]FbdeefhkKrs{InEpU!!"#$*#+/}03.4R55= >?F@,E?IJN\P}UV(X \_Ncddo3rrFw8zq|9} 1 W[/"e&*B+-17>lFGHJaLCSSSVW;XXaoqquz{c6ZI[ L}!"A##,/1|334@@mAE IMWM=QhSSWX[)[^`eghiij@l_yHz{# F R I1R"%&W'U,*5m6T9;=h?@B_DDGGIkMMTUPV`_blqtuxx}f}   :YA"&'Q'')+012G344L88>+EJcK"LM M NcSXVv\\ ]g]IabAd&ekjn5oo|W* z[ `$'(<-X-0F130HjVVVW1XaZ\^_}`b=d%gig;hZh~hhPlonqqqssFwyA R  jtAW) R#%%'(-./9158;sBCHOXQQSUVXEYY]]^``7c:cseefjtuw|{l VS9W a ?"t";())-01467;!>??JLMZPS@W4YYZ]kaLfbf|girrsz|I~a { U \&'''/356:!<Q<G>+CNNRVY[^`flfgAh jSk.m noorr}/~P%K '"&$+//y88:;U>>qLLXO9SNSrS'VX[Z^_bcLeCqq&t xx}zD|= v  $'-**-:45789l:=?FHIUJJ{LrNQqUVVV\ZcMffhfm!r4sswwYx }Q~k4W 5 !""#Q**-0M33q9N<CDJMqP"U"WXY^cj9l}nnsuuuQww[z.{,+` k2dO#%L'())O1t1Z3O5k578G;=x=>?0@t@G:IcKOiRSSU-X3Y;Z;[;aFcgil5nEp)uux~3 \ g 8QsR%%*H+i0K3~89:l<@EFGKK:MPQVRVXYa"bkkk"mrJ|c~ p$$Y()*+,../(0q46.;=j>^?ALBC6FGpK6PdPTVDY\]=`aydfj2k`kJoPL2 .I ''B)q)/000_1k1V56W9<=EBFORTUVB\^gviquxy/{{|'@ # `yz#,(++1J79f;;<B=@HBEGIJOTKVWXZ]]Maya'fbfms wH|6 H!""B#%$*K,_.."3m9<CE(HKKOST2YY[<\\_`dhj4kmgn/ttt8[7 I, !y&P''(C)h.9,DDEJLLOTVAW]Tjopxz{{@H  AsG*)339oCFPQSTZZZ\_beeinqu`wkx||}'x V d {"f#%U/8A:<j=>BAOCrDDE HIKMOThTmUBVbZX\\\&ce ffms"t |(;\ YL\""%+019h;%<@RAZDDIK::B;;>?F*HJKMFRSVI\\bFe6hi8mpoLpwpw| 1| $%&2:CDoEEMOQSWYY\]bIegi6iiZj]qRrsx.{;{^q ]Rd!#%x*0--#.P034l5:6:_:>??@DDvEGLP{SSUVWWRY}YY&^_delmm/ptt v%y1 f  Wud **F-/20e016D7P8A:;<H?DIJJMOSnY.[[1^fbkffjn!nrrwyP{v|}~( 97N._/0013o77:-<<==v>k?AIJzLIMNFPRR\bccweagipHtwHwx~.O F !!$F%%'{(,|.05.799<=?K5MN]2fj%niqsuu}x1||p(Le3BWbh#$y&)i./T156l6;9:o<e=,BTCpD8EEFRGGXIMJJKPQSWX]`a ehmopYuxbyy)XU 2S0p*).2+66889>zEEF,GG|IKLFMFN%OOQU'VX\^cGfftgik mopsww~Q|^(!&P$((*P,294'59CDHQJYNaNxPRRTzWX#]__[`aEbbgh>BDDEE#H)HI"K3KNN PBVEWuwy{u| ^7T&J'#( )!)e).4458;=?@CGH%LM=NZQ|R+VuWZ[^dfkortOvlwzz{||` > Sa %))*++-,1%7l9:;<??G@\@xBCD\EXJYJKZPQU_VEX3[9\\_adhjMnoou"x7yg|!6 `w} !%o/s3:456P7P9M=?GBBFGGPR(VXeZZ/[]^_`bVccXhAjlq;{{?A\ ~ _b3*Z!R"y$E/1128S:;=>K>C@yHMOrSVWZQ]] _+eel[oYu0x?xc|||9 $6l+66 ::W:Y:<\@)CHSJP'QQSTSW_aNaadcc.ddtfipsKwcSEi +! z%*,U->?@8AI7PRSYY^_)`acdbfffi-kklmquw ~#IU0 _++--.6I;<MDNRDUV,V*[^ggh0jkjntyy}Y r q%"&)U,/2?3-45B9D=BCLMM PWs^=`#cblqtSvTvz||}~2H 6 .LaH!#(**,/g2_7&:<!?|?EGG"ITKQU;WXY#]J]ThZi)j_nqs%yy|:` ~ j!~))*+.\048:;??KHHOOQWmYa@aabk pvcvk (*,.156:o<]=GI#L`NhNAYZ^[HbWd~g i4iajjlll.mXr@sPst{|~|S U Tl d D!9%'()*=+/0 7y77;<=@@CkKRT]YY[^adIfg-iil>oooppuxx}4  Xi4 ; H!7(8(),W12J6s69:;HLKLANNOcRUWY\]`d6fqklp~su| 1a)ykv[ !d$D&]+,~-7U9F;@<=B:DFHH=MN'S_abe h.h7i:karrs[udvRk Gj= f L)+t01248>=='?1CUHHUu[bggyhkn4oo@vvLxyK{}> S!`$%&,./1l2 37799;R?@D-GLcMMNZPUWc[\]]0`SiUiklqr|}!r H  mxbUm#.C./4aA|BwDDEF4J\LOWWi^I__`lmmnX}}S{ZR!q""@,.01233425B=R@A7CIJOlP6XYZ[\C_vd`ffhChhloupul{o] 74m^ &( --44Q7{88G??\@BK>LsM PQR]]`lmmrrr_v}y{;~ $J"#g%)0R15w6:<}E F}FGKSSZ_xabfslnooqw2w z}t~!.PL iU6y'n*+03:i>0??DҷG*JM-ʷQR'TU۷[\]_`h?Էnqjujks{0}Olq   7zWo*Z',-5:_;HJ:M%Q_k``kebfjnop4syyz5~~~(e1"#'/(*+0p11)2555-67v9<g@@DJLvPRZ[X_ffrhIj7mnpqrrtzv I(; $M,b3-89@9:CEFGJMQT]__6a dUde7fiZ{}.G = }f %N*v*4q6;!<<XAGHdQRS.VXZZ["`b-fihmLv ww}k x ZZz "'$%**s+*0M0v38"9F9:;?@ BLPR:SJTT|UXZ\\7_bjeefjTtquwvwIyf{|\}-q  m  ap#;$t$%&)+,,.;./5112307ACXJ_QRTVXZ!]_^_0aeexginpppuqqv}}o~ :|:u$%h&''+a.]/1v9?@BHTIIIPTQVWWXY\9^_``n\pOsQtyiL t v| %)L17@CFXFGJ}K@NNNAORXZ`ffggehiopbzz=|(~i  Q}9!&' )*y+e:<>yFGMqRvSSSTW\]] `a:i^kr tavjwhzzz~ I [5AU+fe | !""W#'5(**L,b014f5:O>_@@VBCCEELLQR[T;V^[d3himqr twtyvvwz{}L}H~ =#(+001Y4<7;?6@HKLM2NN^OKRUnY^`|`b!dfjnn&pqlswz4{0+; bl9!<?>*BrDBE;IO)O*TUZ[]_ab7cnpjruyLeJT X7r##k&&b-.C044e:0;<=?u@UAhBCYDIIYJ#UrYZZw\ ahsikop%,#w: jyo"''+-1Z33`8;>?@eBCDQHQyZ_fdh{mqhwy]|)fA@t#r%1(+/256BB DMQ0R$VVXp]Bahhm\ptvz{ N c:!p589;F5GQIAJMJKLcMNQSWY^iaefhiNjgopr#M ' U!!%3-T/1339;">_??D$FFGIJKxUU8Y|^dfooXpz}}S~v3 7n:"(32679C;1==ADEGJM]NTY[^%dbddfjnnv,|Us &'+_+ .`337:x<?nDDFMOP'R.TWXY^_`^ejSl`rtJuvwy{$|o i)##^%&)K-X01R:=>F۱IKP$ABeDkD5G JJL>OORcTUHXX[u^^eit%vIvPx{4 C^ W J iPy'(*K+|22d4 77:;w<=n@+FGHBOQVcY_b_*bcxdhh]kpq/sttt>wzw~1z| Q o#/!|%%%'+- 08[;p;<<=?CEJLkPPUZ?\`ghJoppGrstt\wBxxz{-}C3 .6%& ../13E7Y;z== CCDFvFHDILPWX\G\N_eWgqkkoAruwxx} ~/v 9*qv"}$''g))046BFHKTMGQQJUWXTY^g_u`mae mSmKwxq R ] (o"aOZ u!"$+9+2.E.,/ 25688;<E??Z@CEHJLGNiXK[\^_aAb^bb5c#e5ffk`lr/tt5 T bs/1ak !"M'k***d-2.z2q3D7~::>?AC_E@G;II%L&V[bd9ef kTkkxptuvz}OwW :$&(3./'0L779\:.=@AZKOQzRWVY[[^^^Uafg$g@gh klomy|.~: M (6m SV&l*U,_-<.!/>//9HIIGKtKVX\]]^_|arcygh iijlrIs&v}`~~zl  "#((V)+@.].p67;<AAD!FFI$IMlN]WCY\p`affgh7istu{|2~~de_ `P%w)_+,)0M3<CFGTIOKLEPQU:UU6Z[_-dCgkguhhil8mqkv.{{|b~ ee] #&)6*Z+^-..0[1V9@AJLLMZNP]QRFVVXIZv^b_Sbldodffijj@kn$tuwswy!|-| 13o""&*B,,23456L8`;??BEGGNKKLtNNPPTZ}\R__Ei`icjllm?pru{I}~=vn V|9 >'_'d(*D+,0d0c@BPBCuDH8HHNnQY~_ccdegci6jj!kkln5tv`yz|~Y2 f!##%'+-d.p.044:S=>?AABgFLNUZVXpYY\cc`fggYhtz{}}"~px`M,j iJ0%X%Y,;?e@~C{EGKL@LLO PQZQVV(WJWN_ e&hkNltluuvwwyyz{uO  Mdk8 !#,<-Q-e-W/223&::@:AE!GDHTT5W[]bdQeAhwy{>| ` |1 Z I"#&,U/i35:;<<=?AnDqEFHkHJ LMuTTV[]akh,nOpux3 glTv#((24Q4A5p>A0HIJ MP}Y[[\^o`ab]ciggjYmprAt3uuu|~;E 3#%%W'",{,W0037=!AFTKLL'NQUUrX%YYd`cEeOff h=ijot wxOzmz-~4A] 6H4eD$\&&()0U35c69@=yCSDxDG IQU2UX] ____b;fgg i`j1nqcvUw{||8 ^ D #.'(()-.w//w8;<=XALSTV1X\fhi'nqvvxx~~s. w"#&/d344 6W668:<<a>vCCjDPPT]W%XXM[\`Jbe kkkooplqt6tt/w0wwx}:~~b  !W'u'A- 33x66=>L>CuD.IRhUV}XY3]afgnouuwdxy}~=6 ( Jem>!0458!9:;;d=~=>? AEGLM Q6SU Y[_9bdFelnv+ Iyp+ _!$&&t)*0m58:m<CBIPT.UU34\T f #!"=#t$x%%(){-1J7N7F;}>AqBKC'FGJLLCPFUWYX^^`cnp1sty(5~j Tb!(L,-t./1<6<f>ACCHCKwMNW@X3]Ka.be7ffUjOk tuv\wx{_|`kbbu w |F'!/03g7a:;G@DCF%JzMMOdPQsQX\fgijknnqrsJtvw{~~T] [ 5 hsv"{*y,'-23Y556=UIMUhW abc-c3ciwjj qst_{G\svhq$',++_-V.02466*7$88:9@dCFFHS$UUV|\/ef krtCv|wwv{2}'u7  !#S%(g+4,K-e22K7Z8W;>?SChDEzFHIIQTMU[^_N`cef9hlj orruvw6x?xQyyt|m}~}}c n Y$&(*,y47=CFeHHHiJJ8K2QS|WiX\avbb:jkImo/sx}#M!e E `a"""C'''O(*//0 9:w>IDEIM8O+QJR_)fkknpqSrr`tvww~g2`T"JHk#$&&(,..4!78??MDFNIJNQLRRW^>^`a7bfg/lqteuy{( #ch2Bd""00*<?CC9NR.UVTY\=bdeXff:g6hhdiim.nnp8rkrwyz*| i, "+""'%),-31^79=K>|?AATGKPOQRT4]^^cdNguost8wc|h~= +d=k $!0!%B4#6@7=?GGLL0NOUWWY"^dejo ttwwy{d %c##c&' -m-^./F0;466H<+=AnA?BlBCLK}L_OZD^g_U`:d=hBhm$m^n7owI !3!"`#4))*,-/d3l35,8:(;p<BO\PQiSSTUuVXZ]^_ halmop;ppzqu9v} +4 $%'y'( );)M)\))N**P-/11S22Q89:C4EQF9GHJ-Jz@LDJ6MN(P=TeT\a.bci i!otw|5q chB !J##}$%1x29:?IK9MxMVWYZ[Z]]deDg*hhUiUm{no6ACFF5I4NrTZZ[^_$`i`abm npfqqwtu"xz]M9E 9"v')149::*?@BwEEFIoKKLPS`U:VV5X~YYFZ[`eghkMrtuwwxQT#&(,-713X;;y?GwRSTwUXY*ZZZe(iFiko0qrslv2}xz@xX@UnknownG.Cx Times New Roman5Symbol3. *Cx Arial5. .[`)Tahoma?= *Cx Courier New;WingdingsA$BCambria Math"h !s"[ [ x24uu3QHP ?'A%2!xx$AHA RACTrac Compatible Contact Sheet Alyssa KeefeRandi Dessingue Oh+'0 ( H T `lt|(AHA RACTrac Compatible Contact SheetAlyssa Keefe Normal.dotmRandi Dessingue3Microsoft Office Word@G@~~@u)[՜.+,0  hp|  AHA u %AHA RACTrac Compatible Contact Sheet Title  !"#$&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry Fmv)Data 1Table%WordDocument48SummaryInformation(DocumentSummaryInformation8CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q