Notification of Changes for Business Entity
General Information
Business Entity Name:	THE GENERAL AUTOMOBILE INS SVCS INC
Incorporation / Formation Date:
FEIN:	62-1684225
Ohio License Number:	36214
NPN:	6539339
DBA / Trade Name:
State of Domicile:	CA
County:	SAN BERNARDINO
Business Address
Address 1:	4141 E INLAND EMPIRE BLVD #290
Address 2:
City:	ONTARIO
State:	OH
Zip:	91764
Phone:	800-280-1466
Fax:
Business Web Site Address:	WWW.THEGENERAL.COM
Business Email Address:	MBARNETT@THEGENERAL.COM
Mailing Address
Address 1:	2636 ELM HILL PIKE
Address 2:
City:	NASHVILLE
State:	OH
Zip:	37214
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:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date
ALLISON, HOPE MOZELLE	PRODUCER	17133733	YES		12/28/2016
ASMAH, EMMANUEL SAM	PRODUCER	1196337	YES		12/28/2016
BARNES, COURTNEY MICHELLE	PRODUCER	16947253	YES		12/28/2016
ARROYO-MALDONADO, MILDRED	PRODUCER	1296843	YES		12/28/2016
BECERRA, NANCY	PRODUCER	16551700	YES		12/28/2016
BEKKI, MAHASIN SHEEREEN	PRODUCER	17004636	YES		12/28/2016
BENNING, JOHN PAUL	PRODUCER	3325539	YES		12/28/2016
BOLTON, PAMELA KAY	PRODUCER	17189205	YES		12/28/2016
CATLING, GLORIA DENE	PRODUCER	7038640	YES		12/28/2016
COSSIO, RODOLFO	PRODUCER	14903492	YES		12/28/2016
DAVES, LEE ANN	PRODUCER	16707372	YES		12/28/2016
DELGADO, JOSE LUIS	PRODUCER	10214240	YES		12/28/2016
FELICIANO, JESUS LAWINGCO	PRODUCER	3231508	YES		12/28/2016
FINKELMAN, PAUL JON	PRODUCER	6521818	YES		12/28/2016
GALVEZ, KELLY MICHELLE	PRODUCER	17260948	YES		12/28/2016

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:	MEGAN BARNETT
Title:	LICENSING ADMIN
Phone Number:	800-257-0263 #3248
Email Address:	MBARNETT@THEGENERAL.COM