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:
DBA / Trade Name:
State of Domicile:	AZ
County:	PHOENIX
Business Address
Address 1:	3200 N CENTRAL AVE #200
Address 2:
City:	PHOENIX
State:	AZ
Zip:	85012
Phone:	5022520911
Fax:	6022480652
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
MICHAEL MELBY	PRODUCER	681367	YES		07/07/2017
MICHAEL MELBY	RDA	681367	YES		07/07/2017
JOHN SWAN	RDA	2646870		YES	07/07/2017

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:	CHRISTY KRICK
Title:	LICENSING ADMINISTRATOR
Phone Number:	8124942472
Email Address:	CKRICK@SUPPORTIVEIS.COM