Notification of Changes for Business Entity
General Information  
Business Entity Name: BADER COMPANY
Incorporation / Formation Date: 06/03/1992
FEIN: 35-1858026
Ohio License Number: 27352
NPN: 3122916
DBA / Trade Name:  
State of Domicile: IN
County: MARION
Business Address  
Address 1: 8425 WOODFIELD CROSSING BLVD., STE 200
Address 2:  
City: INDIANAPOLIS
State: IN
Zip: 46240
Phone: 317-706-6062
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 8425 WOODFIELD CROSSING BLVD., STE 200
Address 2:  
City: INDIANAPOLIS
State: IN
Zip: 46240
   
Indicate the type of change you are seeking
Address Change: NO
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: YES
   
Licensed Producers
Name Title NPN Add Delete Eff. Date
MAUREEN LEE VICE PRESIDENT 9681683   YES 02/13/2017
DEANA THOMPSON AGENT 8070388 YES   02/13/2017
TYRECE BUTLER AGENT 16973200 YES   02/13/2017
           
Members, Owners, Partners, Officers and Directors
Name Title Identifying # Add Delete Eff. Date
MAUREEN LEE VICE PRESIDENT 9681683   YES 02/13/2017
CARLOUS TIMOTHY NORMAN PARNELL EXECUTIVE VICE PRESIDENT & COO 5819003 YES   02/13/2017
KATHY MCABEE CHIEF FINANCIAL OFFICER 311785536 YES   02/13/2017
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) NO
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? NO
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: ANA LISA ALONZO-DUVALL
Title: VP RISK MANAGEMENT
Phone Number: 317-706-6062
Email Address: ADUVALL@BADERCO.NET