Notification of Changes for Business Entity
General Information  
Business Entity Name: CUE FINANCIAL GROUP INC
Incorporation / Formation Date:  
FEIN: 860588464
Ohio License Number: 29771
NPN: 8547372
DBA / Trade Name:  
State of Domicile: AZ
County: MARCOPA
Business Address  
Address 1: 3200 N CENTRAL AVE #200
Address 2:  
City: PHOENIX
State: AZ
Zip: 85012
Phone: 5022520911
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 3200 N CENTRAL AVE #200
Address 2:  
City: PHOENIX
State: AZ
Zip: 85012
   
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
           
Members, Owners, Partners, Officers and Directors
Name Title Identifying # Add Delete Eff. Date
MICHAEL MELBY PRESIDENT & CEO 527110616 YES   07/07/2018
JAMES SOLLENBERGER COB 527705089 YES   07/07/2018
JUDITH KUPLIC EXECUTIVE VP 388547068 YES   07/07/2018
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: CHRISTY KRICK
Title: LICENSING ADMINISTRATOR
Phone Number: 8124942472
Email Address: CKRICK@SUPPORTIVEIS.COM