Notification of Changes for Business Entity
General Information
Business Entity Name:	AMERINST PROFESSIONAL SERVICES LTD
Incorporation / Formation Date:
FEIN:	264704390
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	DE
County:	NEW CASTLE
Business Address
Address 1:	4200 COMMERCE CT, SUITE 102
Address 2:
City:	LISLE
State:	IL
Zip:	60532
Phone:	630-799-2000
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	4200 COMMERCE CT, SUITE 102
Address 2:
City:	LISLE
State:	IL
Zip:	60532
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	YES	Old Business Entity Name:	AMERINST PROFESSIONAL SERVICES
New DBA/Trade Name:	YES	New DBA/Trade Name:	PROTEXURE INSURANCE AGENCY INC
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:	LAURIE SACCONE
Title:	LICENSING ANALYST
Phone Number:	3108890986
Email Address:	LSACCONE@PERRKNIGHT.COM