Notification of Changes for Business Entity
General Information
Business Entity Name:	HAYLOR FREYER & COON INC
Incorporation / Formation Date:	09/14/1951
FEIN:	15-0547748
Ohio License Number:	23985
NPN:	654187
DBA / Trade Name:
State of Domicile:	NY
County:	ONONDAGA
Business Address
Address 1:	231 SALINA MEADOWS PKWY
Address 2:
City:	SYRACUSE
State:	NY
Zip:	13212
Phone:	315-451-1500
Fax:	315-703-8161
Business Web Site Address:	WWW.HAYLOR.COM
Business Email Address:	PKENT@HAYLOR.COM
Mailing Address
Address 1:	231 SALINA MEADOWS PKWY
Address 2:
City:	SYRACUSE
State:	NY
Zip:	13212
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
JAMES A STODDARD	TREASURER	6540655		YES	08/01/2017
JAMES A STODDARD	OFFICER	6540655		YES	08/01/2017
JAMES A STODDARD	OFFICER	6540655		YES	08/01/2017
JAMES D FREYER	VICE PRESIDENT	1541245		YES	08/01/2017
MICHAEL J DRIBNAK	VICE PRESIDENT	1593022		YES	08/01/2017
VICTOR A DISERIO	OFFICER	294114		YES	08/01/2017
ROBERT J CAPENOS	PRODUCER	2894714	YES		08/01/2017
THOMAS J FLYNN	VICE PRESIDENT	6533693	YES		08/01/2017
SHEILA K GILROY	PRODUCER	255779	YES		08/01/2017
VICTOR J MARCHETTI	OFFICER	4636892	YES		08/01/2017
JOSEPH P PEPLINSKI JR	PRODUCER	9673539	YES		08/01/2017
SCOTT T WICHMANN	VICE PRESIDENT	7128106	YES		08/01/2017

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
ROBERT J RAYO	PRESIDENT	6406287	YES		08/01/2017
MARK E MCANANEY	CFO	105-44-2231			08/01/2017

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:	MARK E MCANANEY
Title:	CFO
Phone Number:	315-451-1500
Email Address:	PKENT@HAYLOR.COM