Indiana Code Title 12. Human Services § 12-10-15-8

(1) The business name, street address, and mailing address of the establishment.

(2) The name and mailing address of the owner or owners of the establishment.  If the owner or owners are not natural persons, the operator must provide identification of the type of business entity of the owner or owners, and the name and addresses of the officers and members of the governing body, or comparable persons for other types of business entities of the owner or owners.

(3) The name and mailing address of the managing agent, whether through management agreement or lease arrangement, of the establishment, if different from the owner or owners, and the name of the on-site manager, if any.

(4) The name and address of at least one (1) individual who is responsible for dealing with the director on all matters subject to this chapter.