| Notification of Changes for Business Entity |
| General Information | |
| Business Entity Name: | TRANSPROTECTION SERVICE COMPANY |
| Incorporation / Formation Date: | |
| FEIN: | 431254631 |
| Ohio License Number: | |
| NPN: | |
| DBA / Trade Name: | |
| State of Domicile: | OH |
| County: | ST. LOUIS |
| Business Address | |
| Address 1: | ONE PREMIER DRIVE |
| Address 2: | |
| City: | FENTON |
| State: | MO |
| Zip: | 63026 |
| Phone: | 8003253619 |
| Fax: | |
| Business Web Site Address: | |
| Business Email Address: | |
| Mailing Address | |
| Address 1: | ONE PREMIER DRIVE |
| Address 2: | |
| City: | FENTON |
| State: | MO |
| Zip: | 63026 |
| | |
| 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 |
| | |
| Members, Owners, Partners, Officers and Directors |
| Name | Title | Identifying # | Add | Delete | Eff. Date |
| ANTHONY J. MERCURIO | EXECUTIVE VP, DIRECTOR | 268825343 | YES | | 03/01/2016 |
| ARTHUR J. GONZALES | SR VP,GEN COUNSEL,SCRTY,DIRECT | 293688124 | YES | | 03/01/2016 |
| GARY N. MONDA | VP, ASST TREASURER, DIRECTOR | 270600807 | YES | | 03/01/2016 |
| JULIE A. MCGRAW | VP,CFO,TREASURER, DIRECTOR | 299701881 | YES | | 03/01/2016 |
| JAMES A. PARKS | VICE PRESIDENT | 7669013 | YES | | 03/01/2016 |
| MICHAEL LUCAS | ASSISTANT VICE PRESIDENT | 242909 | YES | | 03/01/2016 |
| 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 | |