Notification of Changes for Business Entity
General Information
Business Entity Name:	KEY FINANCIAL GROUP INC.
Incorporation / Formation Date:
FEIN:	84-0899803
Ohio License Number:	38922
NPN:
DBA / Trade Name:
State of Domicile:	CO
County:	DOUGLAS
Business Address
Address 1:	2221 BITTERROOT PL
Address 2:
City:	HIGHLANDS RANCH
State:	CO
Zip:	80129
Phone:	3039873311
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	PO BOX 631519
Address 2:
City:	LITTLETON
State:	CO
Zip:	80163-1519
Indicate the type of change you are seeking
Address Change:	YES
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

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
JENELL SOBAS

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:	JENELL SOBAS
Title:	PRES
Phone Number:	3039873311
Email Address:	JENELL@GO2KEY.COM