Notification of Changes for Business Entity
General Information
Business Entity Name:	CAREMARK, L.L.C.
Incorporation / Formation Date:	06/12/1997
FEIN:	953382344
Ohio License Number:	38755
NPN:
DBA / Trade Name:
State of Domicile:	AZ
County:	MARICOPA
Business Address
Address 1:	2211 SANDERS ROAD
Address 2:
City:	NORTHBROOK
State:	IL
Zip:	60062
Phone:	480.314.8319
Fax:	480.661.2876
Business Web Site Address:
Business Email Address:	KAREN.LLANO@CVSHEALTH.COM
Mailing Address
Address 1:	9501 E. SHEA BLVD., MC 024
Address 2:
City:	SCOTTSDALE
State:	AZ
Zip:	85260
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

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
ANNE KLIS	PRESIDENT AND TREASURER			YES	10/31/18
JOHN M. CONROY	PRESIDENT AND TREASURER		YES		10/31/18

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:	THOMAS S. MOFFATT
Title:	VICE PRESIDENT AND SECRETARY
Phone Number:
Email Address: