Notification of Changes for Business Entity
General Information
Business Entity Name:	U.S. RISK, LLC
Incorporation / Formation Date:	06/30/1992
FEIN:	752436502
Ohio License Number:	29543 & 30175
NPN:	686639
DBA / Trade Name:
State of Domicile:	TX
County:	UNKNOWN
Business Address
Address 1:	8401 NORTH CENTRAL EXPRESSWAY
Address 2:
City:	DALLAS
State:	TX
Zip:	75225
Phone:	214-265-7090
Fax:
Business Web Site Address:
Business Email Address:	LORENZO.HOUSTON@USRISK.COM
Mailing Address
Address 1:	8401 NORTH CENTRAL EXPRESSWAY
Address 2:
City:	DALLAS
State:	TX
Zip:	75225
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	YES	New DBA/Trade Name:	STRATEGIC INSURANCE UNDERWRITE
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:	LORENZO HOUSTON
Title:	COMPLIANCE DIRECTOR
Phone Number:	214-265-7090
Email Address:	T.HOUSTON@ILSAINC.COM