Notification of Changes for Business Entity
General Information
Business Entity Name:	HUNTINGTON INSURANCE, INC.
Incorporation / Formation Date:
FEIN:	341715613
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	DELAWARE
Business Address
Address 1:	440 POLARIS PARKWAY
Address 2:
City:	WESTERVILLE
State:	OH
Zip:	43082
Phone:	614-899-8500
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	440 POLARIS PARKWAY
Address 2:
City:	WESTERVILLE
State:	OH
Zip:	43082
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
MARK L. FETTERS	VP	953409	YES		01/31/2016
JAMES WILLIAM HARVEY	VP	1119453	YES		01/31/2016
JOSEPH PETER SANCHEZ	VP	8334411	YES		01/31/2016
ELIZABETH A. BEAL	VP	1830096	YES		01/31/2016
MARK L. CAPUANO	VP	1779963	YES		01/31/2016
LUCINA M. DEWALT	VP	1902171	YES		01/31/2016
WILLIAM A. FETCKO	VP	618217	YES		01/31/2016
LONITA I LEWIS	VP	6449720	YES		01/31/2016
BETH S. PATTON	VP	3661385	YES		01/31/2016

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
DENNIS L. RAAB	OFFICER	393589183		YES	01/31/2016
DENNIS L. RAAB	VP	393589183	YES		01/31/2016
RICHARD A. CHEAP	DIRECTOR	404744329	YES		04/24/2009
RICHARD J. REMIKER	DIRECTOR	394563220	YES		11/04/2015

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:	KELLY L SEMER
Title:	AVP/COMPLIANCE SPECIALIST
Phone Number:	419-720-7920
Email Address:	KELLY.SEMER@HUNTINGTON.COM