Notification of Changes for Business Entity
General Information
Business Entity Name:	THE GENERAL AUTOMOBILE INS SVCS INC
Incorporation / Formation Date:
FEIN:	62-1684225
Ohio License Number:	36214
NPN:	6539339
DBA / Trade Name:
State of Domicile:	CA
County:	SAN BERNARDINO
Business Address
Address 1:	4141 E INLAND EMPIRE BLVD #290
Address 2:
City:	ONTARIO
State:	OH
Zip:	91764
Phone:	800-280-1466
Fax:
Business Web Site Address:	WWW.THEGENERAL.COM
Business Email Address:	MBARNETT@THEGENERAL.COM
Mailing Address
Address 1:	2636 ELM HILL PIKE
Address 2:
City:	NASHVILLE
State:	OH
Zip:	37214
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:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date
PROSPERO, MIGUEL	PRODUCER	1218313	YES		12/28/2016
REINA, CUQUITA M	PRODUCER	1953549	YES		12/28/2016
RIVERA LOPEZ, LUIS OMAR	PRODUCER	16164690	YES		12/28/2016
SMITH, CHRISTINA REBECCA	PRODUCER	17435141	YES		12/28/2016
SMITH-PRESSLEY, PATRICE NICOLE	PRODUCER	17025779	YES		12/28/2016
SNOW, JUDITH MITCHELL	PRODUCER	17343996	YES		12/28/2016
VILLALPANDO, GUADALUPE BEATRIZ	PRODUCER	7724141	YES		12/28/2016
WEBSTER, FLORA DEE	PRODUCER	17439897	YES		12/28/2016
WILSON, KIMBERLY C	PRODUCER	10376283	YES		12/28/2016
ADAMS, KENT LAWRENCE	PRODUCER	7888390	YES		12/28/2016
ALTADONNA, CYNTHIA ANN	PRODUCER	7023024	YES		12/28/2016
BENEDUCE, SHERYL	PRODUCER	11059499	YES		12/28/2016
BOBBITT, EDWARD L	PRODUCER	6592455	YES		12/28/2016
BONILLA, LUIS A	PRODUCER	14062540	YES		12/28/2016
BRICE, MELISSA RENEE	PRODUCER	17087267	YES		12/28/2016

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:	MEGAN BARNETT
Title:	LICENSING ADMIN
Phone Number:	800-257-0263 #3248
Email Address:	MBARNETT@THEGENERAL.COM