Notification of Changes for Business Entity
General Information
Business Entity Name:	MARSH & MCLENNAN AGENCY LLC
Incorporation / Formation Date:
FEIN:	263237576
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	CLERMONT
Business Address
Address 1:	6279 TRI-RIDGE BLVD, SUITE 400
Address 2:
City:	LOVELAND
State:	OH
Zip:	45140
Phone:	513-936-1201
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	6279 TRI-RIDGE BLVD, SUITE 400
Address 2:
City:	LOVELAND
State:	OH
Zip:	45140
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
KEVIN ASTON	PRACTICE LEADER	8881449	YES		06/06/2016
CHRIS KEITH	ACCOUNT MANAGER	16770956	YES		05/16/2016
ERICKA JOHNSON	ACCOUNT MANAGER	2256315		YES	06/29/2016
KATHERINE DOWNING	TECHNICAL ASSISTANT	17175273		YES	06/01/2016
MARY KEENAN	ACCOUNT MANAGER	1810187		YES	06/29/2016
SHERI HULLIBERGER	EXEC ASSISTANT	301-60-8162	YES		05/16/2016
LISA GOODALL	CLIENT WELLNESS COORDINATOR	292-78-7422	YES		07/06/2016
JENNIFER TAYLOR	ACCOUNT ASSISTANT	285-82-5077	YES		07/06/2016

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
CHRIS MCATEE	CFO	283-64-1991	YES		06/06/2016

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

Submitted By
Submitted By:	SHARON FOGELMAN
Title:	LICENSING COORDINATOR
Phone Number:	513-936-1201
Email Address:	SFOGELMAN@EKINKER.COM