| Notification of Changes for Business Entity |
| General Information | |
| Business Entity Name: | WHIPPLE TITLE AGENCY, LLC |
| Incorporation / Formation Date: | 12/04/2006 |
| FEIN: | 20-8097113 |
| Ohio License Number: | 35735 |
| NPN: | 9060662 |
| DBA / Trade Name: | N/A |
| State of Domicile: | OH |
| County: | STARK |
| Business Address | |
| Address 1: | 1151 WHIPPLE AVE. NW |
| Address 2: | |
| City: | CANTON |
| State: | OH |
| Zip: | 44708 |
| Phone: | 330-477-3589 |
| Fax: | |
| Business Web Site Address: | |
| Business Email Address: | JENNIE@WHIPPLETITLE.COM |
| Mailing Address | |
| Address 1: | 1149 WHIPPLE AVE. NW |
| Address 2: | |
| City: | CANTON |
| State: | OH |
| Zip: | 44708 |
| | |
| 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: | NO |
| | |
| 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) | YES |
| 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? | YES |
| 3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement | JOE W. MARINO, JR., THOMAS A. MARINO, SCOTT MARINO, AND JAMES MARINO (49% OWNERS) ARE LICENSED REALTORS FOR THE STATE OF OHIO. |