Notification of Changes for Business Entity
General Information
Business Entity Name:	TOWERS WASTON DELEWARE INC.
Incorporation / Formation Date:	02/17/1958
FEIN:	530181291
Ohio License Number:	25556
NPN:	1633049
DBA / Trade Name:
State of Domicile:	OH
County:	KENT
Business Address
Address 1:	160 GREENTREE DRIVE
Address 2:	SUITE 101
City:	DOVER
State:	DE
Zip:	19904
Phone:	973-290-2540
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	8 CAMPUS DRIVE
Address 2:	4TH FLOOR
City:	PARSIPPANY
State:	NJ
Zip:	07054
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
JASMINE ARAL	AGENT	12453674	YES		12/10/2015
STEPHANIE LYNN BRUNERMER	AGENT	16798862	YES		12/10/2015
ETHAN RUSH	AGENT	1063598	YES		12/10/2015
ANTHONY CHARLES WILLIAMS	AGENT	686541	YES		12/10/2015
PARAS GOSALIAS	AGENT	1076358	YES		12/10/2015
JANE FEIL	AGENT	36651		YES	01/01/2016

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
SUSAN D. DAVIES	CONTROLLER AND PRINCIPAL OFFIC	082-66-6719	YES		12/10/2015
KIRKLAND HICKS	VP, GENERAL COUNSEL AND SE	238-45-2508		YES	12/10/2015
MICHAEL J. O'BOYLE	TREASURER	210-44-5297		YES	12/10/2015
MICHAEL M. THOMSON	CONTROLLER AND PRINCIPAL ACCT	187-60-7774		YES	12/10/2015

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)	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:	MILDRED MEDINA
Title:	LICENSING COORDINATOR
Phone Number:	973-290-2525
Email Address:	MILDRED.MEDINA@TOWERSWATSON.COM