Notification of Changes for Business Entity
General Information
Business Entity Name:	GLOBAL SECUTIVE, LLC
Incorporation / Formation Date:	05/01/2007
FEIN:	26-0159952
Ohio License Number:	38906
NPN:	9363680
DBA / Trade Name:
State of Domicile:	NJ
County:	PINELLAS
Business Address
Address 1:	134 15 AVENUE NORTH
Address 2:
City:	ST. PETERSBURG
State:	FL
Zip:	33704
Phone:	7278947282
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	214 CARNEGIE CENTER
Address 2:	SUITE 108
City:	PRINCETON
State:	NJ
Zip:	08540
Indicate the type of change you are seeking
Address Change:	YES
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

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
BETH HAMILTON	PRESIDENT	1163463	YES		04/06/18
PATRICK SULLIVAN	VICE PRESIDENT	345660263	YES		04/06/18

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:	BETH HAMILTON
Title:	PRESIDENT
Phone Number:	91235337013
Email Address:	ALISON@INSCOMPLY.COM