Notification of Changes for Business Entity
General Information
Business Entity Name:	INVEST FINANCIAL CORP INS AGENCY INC OF IL
Incorporation / Formation Date:
FEIN:	363325488
Ohio License Number:	35557
NPN:
DBA / Trade Name:
State of Domicile:	IL
County:	COOK
Business Address
Address 1:	225 WEST WACKER DR STE 1200
Address 2:
City:	CHICAGO
State:	IL
Zip:	60606
Phone:	8002424732
Fax:	8138906408
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	7601 TECHNOLOGY WAY DS6
Address 2:
City:	DENVER
State:	CO
Zip:	80237
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
JODI L MANTHEI	AGENT	2168330		YES	2/15/2018
JOHN STEPHEN JANIOS	AGENT	3387653		YES	2/15/2018
JOSEPH S ZAIDAIN	AGENT	2508741		YES	2/15/2018
KASSIA A CRISTELLO	AGENT	1718103		YES	2/15/2018
KENNETH CRAIG MORRIS	AGENT	991359		YES	2/15/2018
KENNETH G BECKER	AGENT	2431904		YES	2/15/2018
KEVIN COREY MASON	AGENT	415332		YES	2/15/2018
KEVIN H FRINGER	AGENT	700506		YES	2/15/2018
LISA LYNNE POMERLEAU	AGENT	7436784		YES	2/15/2018
MARK J DUBEL	AGENT	747492		YES	2/15/2018
MARSHA DIANNE FIFER	AGENT	4979065		YES	2/15/2018
NEAL GERARD SCHULTE	AGENT	3663042		YES	2/15/2018
NICHOLAS N SCHULTE	AGENT	15823415		YES	2/15/2018
NINA S PRESTON	AGENT	973418		YES	2/15/2018
PAMELA J HOLLINGER	AGENT	2115566		YES	2/15/2018

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:	LORI LAPOLE
Title:	LICENSING DEPT
Phone Number:	8138805325
Email Address:	REGISTRATION@INVESTFINANCIAL.COM