Notification of Changes for Business Entity
General Information  
Business Entity Name: HEALTH DESIGN PLUS, INC.
Incorporation / Formation Date:  
FEIN: 34-1593929
Ohio License Number:
NPN:
DBA / Trade Name:  
State of Domicile: OH
County: SUMMIT
Business Address  
Address 1: 1755 GEORGETOWN ROAD
Address 2:  
City: HUDSON
State: OH
Zip: 44236
Phone: 3306561072
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 1755 GEORGETOWN ROAD
Address 2:  
City: HUDSON
State: OH
Zip: 44236
   
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
           
Members, Owners, Partners, Officers and Directors
Name Title Identifying # Add Delete Eff. Date
JENNIFER L. LESCSAK OFFICER 275764853   YES 12012015
RUTH COLEMAN OFFICER 151386851 YES   12012015
JOHN STRICKLAND OFFICER 585579622 YES   12012015
RICHARD HANSON OFFICER/DIRECTOR 528702199 YES   12012015
MICHAEL SZUBSKI DIRECTOR 283660254 YES   12012015
THOMAS SNOWBERGER DIRECTOR 295720911 YES   12012015
UNIVERSITY HOSPITALS HOLDINGS OWNER 341768931 YES   12012015
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 CERTAIN OF THE OFFICERS AND DIRECTORS ARE EMPLOYED BY UNIVERSITY HOSPITALS HEALTH SYSTEM, INC.
Submitted By  
Submitted By: JOHN STRICKLAND
Title: PRESIDENT
Phone Number: 3306561072
Email Address: JSTRICKLAND@HDPLUS.COM