Notification of Changes for Business Entity
General Information
Business Entity Name:	ATRIUM CREDIT UNION INC.
Incorporation / Formation Date:
FEIN:	31-0622088
Ohio License Number:	34699
NPN:	8854791
DBA / Trade Name:
State of Domicile:	OH
County:	WARREN
Business Address
Address 1:	6051 MARKET AVENUE SUITE C
Address 2:
City:	FRANKLIN
State:	OH
Zip:	45005
Phone:	513-420-5737
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	6051 MARKET AVENUE SUITE C
Address 2:
City:	FRANKLIN
State:	OH
Zip:	45005
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
GEORGIA KAY SLOUFFMAN	MANAGER	00000		YES	7/22/2016
CYNTHIA COTTONGIM	CEO	988932	YES		7/22/2016
DEANN CURRAN	ASSISTANT MANAGER	323-60-5871	YES		7/22/2016

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:	CYNTHIA COTTONGIM
Title:	CEO
Phone Number:	513-420-5737
Email Address:	CC@ATRIUM4U.ORG