Notification of Changes for Business Entity
General Information
Business Entity Name:	THE GENERAL AUOTMOBILE INS SVCS INC
Incorporation / Formation Date:
FEIN:	62-1684225
Ohio License Number:	36214
NPN:	6539339
DBA / Trade Name:
State of Domicile:	CA
County:	RIVERSIDE
Business Address
Address 1:	3610 CENTRAL AVE STE 204
Address 2:
City:	RIVERSIDE
State:	CA
Zip:	92506
Phone:	800-280-1466
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	2636 ELM HILL PIKE
Address 2:
City:	NASHVILLE
State:	OH
Zip:	37214
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
ELISE PRINCE-MCDANIEL	PRODUCER	17172943	YES		10/06/2017
JANICE MITCHELL	PRODUCER	17172943	YES		10/06/2017
FRANCISCO GARZA	PRODUCER	14950010	YES		10/06/2017
EMAD MOSTAFA	PRODUCER	17954960	YES		10/06/2017
JOHN TENNEY	PRODUCER	9294720	YES		10/06/2017
TOSCHA STANSBERRY	PRODUCER	16790224	YES		10/06/2017
THOMAS ROSE	PRODUCER	17750814	YES		10/06/2017
KELLY BUTLER	PRODUCER	17274265	YES		10/06/2017
LATRAINYA EDWARDS	PRODUCER	8186995	YES		10/06/2017
KAREN BARNHART	PRODUCER	18237203	YES		10/06/2017
GLENN ERICKSON	PRODUCER	18469287	YES		10/06/2017

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:	MEGAN BARNETT
Title:	LICENSING ADMINISTRATOR
Phone Number:	216-986-3248
Email Address:	MBARNETT@THEGENERAL.COM