Notification of Changes for Business Entity
General Information
Business Entity Name:	MARSH USA INC.
Incorporation / Formation Date:
FEIN:	361436000
Ohio License Number:	24035
NPN:	27658
DBA / Trade Name:
State of Domicile:	NY
County:	NEW YORK
Business Address
Address 1:	1166 AVENUE OF THE AMERICAS
Address 2:
City:	NEW YORK
State:	NY
Zip:	10036
Phone:	2123459680
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1166 AVENUE OF THE AMERICAS
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
ABIGAIL ERETH	EMPLOYEE	9674989		YES	07/01/2017
ALICE HALTER	AGENT	1795626		YES	07/01/2017
ANDREW URBAN	AGENT	7407589		YES	07/01/2017
BASIMA RUMMAN	AGENT	1206079		YES	07/01/2017
BEVERLY ZENOR	AGENT	1955174		YES	07/01/2017
CARMEN KEENER	AGENT	2191079		YES	07/01/2017
CHARLES DORSEY	AGENT	3155648		YES	07/01/2017
CHRISTY MILLER	AGENT	2145036		YES	07/01/2017
CHRISTEL LYNN LINCOLN	VICE PRESIDENT	7623291		YES	07/01/2017
DAVID MORLAN	AGENT	1801891		YES	07/01/2017
DEBRA CLARK-KINKEAD	VICE PRESIDENT	2194640		YES	07/01/2017
DOUGLAS ALT	AGENT	1479734		YES	07/01/2017
ERIK WARGO	EMPLOYEE	7324539		YES	07/01/2017
JANICE HORNE	AGENT	1845938		YES	07/01/2017
JANICE SCHNABEL	DIRECTOR	3700354		YES	07/01/2017

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)	NO
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?	NO
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:	LATANYA GOODWIN
Title:	LICENSING SPECIALIST
Phone Number:	2169371421
Email Address:	LATANYA.GOODWIN@MARSH.COM