Notification of Changes for Business Entity
General Information
Business Entity Name:	PODS ENTERPRISES, LLC
Incorporation / Formation Date:
FEIN:	202759417
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	FL
County:	PINELLAS
Business Address
Address 1:	13535 FEATHER SOUND DR., 4TH FLOOR
Address 2:
City:	CLEARWATER
State:	FL
Zip:	33762
Phone:	7275386385
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	13535 FEATHER SOUND DR., 4TH FLOOR
Address 2:
City:	CLEARWATER
State:	FL
Zip:	33762
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
DENISE FIGUEROA	DRLP	12224865		YES	1/10/2018
PATRICIA MOREA	DRLP	3622121	YES		1/10/2018

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:	AARON PARKER
Title:	SVP
Phone Number:	7275386385
Email Address:	INSLICENSING@PODS.COM