Notification of Changes for Business Entity
General Information
Business Entity Name:	HOWARD HANNA INSURANCE SERVICES INC
Incorporation / Formation Date:	05/24/1985
FEIN:	251553922
Ohio License Number:	35718
NPN:	2008566
DBA / Trade Name:
State of Domicile:	PA
County:	ALLEGHENY
Business Address
Address 1:	1000 GAMMA DR.
Address 2:
City:	PITTSBURGH
State:	PA
Zip:	15238
Phone:	412-696-0310
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1000 GAMMA DR. 4TH FLOOR
Address 2:
City:	PITTSBURGH
State:	PA
Zip:	15238
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
DAVID QUEEN	PRODUCER	8658555		YES	05/19/2016
ALISA GEITGEY	PRODUCER	12352268	YES		05/19/2016
DANIEL WADE	PRODUCER	8771372	YES		05/19/2016

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:	DANIELLE SHEARER
Title:	DIVISION OPERATIONS MANAGER
Phone Number:	412-696-0310
Email Address:	DSHEARER@HOWARDHANNA.COM