Notification of Changes for Business Entity
General Information
Business Entity Name:	WESBANCO INSURANCE SERVICES
Incorporation / Formation Date:
FEIN:	550764295
Ohio License Number:	3662385
NPN:
DBA / Trade Name:
State of Domicile:	WV
County:	HARRISON
Business Address
Address 1:	329 PIKE STREET
Address 2:
City:	SHINNSTON
State:	WV
Zip:	26431
Phone:	304-905-7349
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	329 PIKE STREET
Address 2:
City:	SHINNSTON
State:	OH
Zip:	26431
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
RYAN MULLINS	PRODUCER	17298461	YES		4/4/2017

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:	BRUCE MARTIN
Title:	PRESIDENT
Phone Number:	304-905-7349
Email Address:	MARTINB@WESBANCO.COM