Notification of Changes for Business Entity
General Information
Business Entity Name:	ABACUS SETTLEMENTS LLC.
Incorporation / Formation Date:
FEIN:	42-1616777
Ohio License Number:	34248
NPN:
DBA / Trade Name:
State of Domicile:	FL
County:	UNITED STATES
Business Address
Address 1:	2102 PARK CENTER DR. STE. 220
Address 2:
City:	ORLANDO
State:	OH
Zip:	32835
Phone:	407-4557708
Fax:	407-455-7765
Business Web Site Address:
Business Email Address:	KAREN@KMGGH.COM
Mailing Address
Address 1:	2102 PARK CENTER DR. STE. 220
Address 2:
City:	ORLANDO
State:	FL
Zip:	32835
Indicate the type of change you are seeking
Address Change:	YES
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	NO	New DBA/Trade Name:
Amend DBA/Trade Name:	NO	Old DBA/Trade Name:
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date

Title Business Entities Only
1. Is any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance? (i.e. banking, auto dealer, mortgage company)
2. Has any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance since the filing of the previous CN-65 or the original application?
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement

Submitted By
Submitted By:	SCOTT KIRBY
Title:	CO-PRESIDENT
Phone Number:	407-455-7708
Email Address:	KAREN@KMGGH.COM