Notification of Changes for Business Entity
General Information
Business Entity Name:	ONOCR INS SERVICES LLC
Incorporation / Formation Date:
FEIN:	262311888
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	IA
County:	LINN
Business Address
Address 1:	4333 EDGEWOOD RD NE
Address 2:
City:	CEDAR RAPIDS
State:	IA
Zip:	52499
Phone:	319-355-8511
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	4333 EDGEWOOD RD NE
Address 2:
City:	CEDAR RAPIDS
State:	IA
Zip:	52499
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
ROGER CLARK	PRODUCER	8716681	YES		03-29-2017
MICHELE BROWN	PRODUCER	273587	YES		03-29-2017
CHRISTOPHER BROWN	PRODUCER	17543929	YES		03-29-2017
SPENCER KIRK	PRODUCER	17199562	YES		03-29-2017
MALIA LEE	PRODUCER	18329817	YES		03-29-2017
STACEY MULLIN	PRODUCER	7321536	YES		03-29-2017
JESSICA DIAZ	PRODUCER	17116318	YES		03-29-2017
REGINALD VANCE	PRODUCER	455197	YES		03-29-2017
MICHAEL BOROTA	PRODUCER	8527536	YES		03-29-2017
DERRICK WHITE	PRODUCER	17614703	YES		03-29-2017
MICHAEL SALANITRI	PRODUCER	18354610	YES		03-29-2017
EFRAIN RODRIGUEZ	PRODUCER	11107376	YES		003-29-2017

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:	CHRIS RODRIGUEZ
Title:	SR LICESNING SPECIALIST
Phone Number:	800-443-9975
Email Address:	CHRIS.RODRIGUEZ@TRANSAMERICA.COM