Notification of Changes for Business Entity
General Information  
Business Entity Name: REGAL FINANCIAL LLC
Incorporation / Formation Date:  
FEIN: 45-5586979
Ohio License Number: 971193
NPN: 16783690
DBA / Trade Name:  
State of Domicile: OH
County: CUYAHOGA
Business Address  
Address 1: 30675 SOLON RD. #202
Address 2:  
City: SOLON
State: OH
Zip: 44139
Phone: 2162851971
Fax: 2162851959
Business Web Site Address:  
Business Email Address: TGALLAGHER@REGALFINANCIAL.NET
Mailing Address  
Address 1: 30675 SOLON RD. #202
Address 2:  
City: SOLON
State: OH
Zip: 44139
   
Indicate the type of change you are seeking
Address Change: YES
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 A. GALLAGHER
Title: PARTNER
Phone Number: 2162851970
Email Address: TGALLAGHER@REGALFINANCIAL.NET