Notification of Changes for Business Entity
General Information
Business Entity Name:	PDP GROUP, INC.
Incorporation / Formation Date:	04/01/1974
FEIN:	520997482
Ohio License Number:	26539
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	US
Business Address
Address 1:	10909 MCCORMICK RD
Address 2:
City:	HUNT VALLEY
State:	MD
Zip:	21031
Phone:	4105840305
Fax:
Business Web Site Address:
Business Email Address:	LICENSING@PDPGROUPINC.COM
Mailing Address
Address 1:	10909 MCCORMICK RD
Address 2:
City:	HUNT VALLEY
State:	MD
Zip:	21031
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
CHARLES A. VERSCHOORE	DRP	575862	YES		03/28/17
WILLIAM BRUCE PITCHER	DRP	14250		YES	03/28/17

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:	SUE SWARTZ
Title:	BUSINESS OFFICE MANAGER
Phone Number:	4105840305
Email Address:	LICENSING@PDPGROUPIN.COM