Notification of Changes for Business Entity
General Information
Business Entity Name:	VOLDICO LLC
Incorporation / Formation Date:	07/19/2010
FEIN:	273092197
Ohio License Number:	41590
NPN:	15883589
DBA / Trade Name:
State of Domicile:	IN
County:	RIPLEY
Business Address
Address 1:	420 S BUCKEYE STREET
Address 2:
City:	OSGOOD
State:	IN
Zip:	47037
Phone:	812-689-6740
Fax:	812-609-4350
Business Web Site Address:	HTTP://WWW.VOLDICO.COM
Business Email Address:	CUSTOMERINFO@VOLDICO.COM
Mailing Address
Address 1:	420 S BUCKEYE STREET
Address 2:
City:	OSGOOD
State:	IN
Zip:	47037
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
SHANNON M TEKULVE	PRODUCER	7569411	YES		02/17/2017
WILLIAM G VANKIRK	PRODUCER	1454723	YES		02/17/2017
STEVEN J DEBONA	PRODUCER	8056310	YES		02/17/2017
SHANNON LEE SAWYER	PRODUCER	8227728	YES		02/17/2017
REBECCA LYNN CRAFT	PRODUCER	7435311	YES		02/17/2017
JOSHUA P MULL	PRODUCER	17301121	YES		02/17/2017
JAY WILLIAM WHITEHEAD	PRODUCER	7462841	YES		02/17/2017
DENISE M KNUEVEN	PRODUCER	5331876	YES		02/17/2017
CATHY S HORN	PRODUCER	1460849	YES		02/17/2017
BRAD SAMPLES	PRODUCER	3314006	YES		02/17/2017
BRENT K TURNER	PRODUCER	16975688	YES		02/17/2017
BEVERLY A MILLER	PRODUCER	1485071	YES		02/17/2017
ASHLIN HADDEN	PRODUCER	16972504	YES		02/17/2017
ANURAG J PATEL	PRODUCER	7427464	YES		02/17/2017
KARA ANN GRAY	PRODUCER	15543965	YES		02/17/2017

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)	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:	JESSE HAESSIG
Title:	LICENSING & APPOINTMENTS
Phone Number:	812-689-6951
Email Address:	JHAESSIG@VOLDICO.COM