Notification of Changes for Business Entity
General Information
Business Entity Name:	RESOURCE PRO SERVICES LLC
Incorporation / Formation Date:
FEIN:	474621321
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	NY
County:	NEW YORK
Business Address
Address 1:	1180 AVENUE OF THE AMERICAS, 16TH FLOOR
Address 2:
City:	NEW YORK
State:	NY
Zip:	10036
Phone:	2122973180
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1180 AVENUE OF THE AMERICAS, 16TH FLOOR
Address 2:
City:	NEW YORK
State:	NY
Zip:	10036
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
JEREMY HITZIG	CEO	4504319	YES		02/20/2018

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:	NAKEYA BURNETT
Title:	LICENSING & COMPLIANCE ASSOCIATE
Phone Number:	2122973180
Email Address:	COMPLIANCE@DISTINGUISHED.COM