Notification of Changes for Business Entity
General Information
Business Entity Name:	MCGOWAN & COMPANY, INC.
Incorporation / Formation Date:	12/16/1958
FEIN:	340841381
Ohio License Number:	973 -NOTE: ADDING 2ND/NEW BRANCH LOCATION - NOTHING CHANGING
NPN:	957577
DBA / Trade Name:
State of Domicile:	OH
County:	CUYAHOGA
Business Address
Address 1:	2661 COMMONS BLVD.
Address 2:
City:	BEAVERCREEK
State:	OH
Zip:	45431
Phone:	4403336300
Fax:
Business Web Site Address:
Business Email Address:	TBMIV@MCGOWANINS.COM
Mailing Address
Address 1:	20595 LORAIN ROAD
Address 2:	3RD FLOOR
City:	FAIRVIEW PARK
State:	OH
Zip:	44126
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

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:	THOMAS MCGOWAN IV
Title:	PRESIDENT
Phone Number:	8009279800
Email Address:	BLINSURANCE@CSCGLOBAL.COM