Notification of Changes for Business Entity
General Information
Business Entity Name:	C.V. STARR & CO.
Incorporation / Formation Date:
FEIN:	94-1115603
Ohio License Number:	34822
NPN:	1939068
DBA / Trade Name:
State of Domicile:	CA
County:	SAN FRANCISCO
Business Address
Address 1:	1 BUSH STREET
Address 2:	SUITE 1350
City:	SAN FRANCISCO
State:	CA
Zip:	94104
Phone:	415-607-3582
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1 BUSH STREET
Address 2:	SUITE 1350
City:	SAN FRANCISCO
State:	CA
Zip:	94104
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

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
CHARLES DANGELO	PRESIDENT, CEO & DIRECTOR	351-44-0788		YES	01/01/2018
JAMES DOWD	VICE PRESIDENT	139-44-1363		YES	01/01/2018
STEVEN BLAKEY	PRESIDENT & CEO	259-45-3908	YES		01/01/2018

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)	NO
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?	NO
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:	SINTIA CHOWDHURY
Title:	PRODUCER LICENSING SPECIALIST
Phone Number:	2128840551
Email Address:	PRODUCER.LICENSING@STARRCOMPANIES.COM