Notification of Changes for Business Entity
General Information
Business Entity Name:	THE JAMES B. OSWALD COMPANY
Incorporation / Formation Date:	08/16/1915
FEIN:	340445620
Ohio License Number:	829
NPN:	687146
DBA / Trade Name:	OSWALD COMPANIES
State of Domicile:	OH
County:	CUYAHOGA
Business Address
Address 1:	1100 SUPERIOR AVENUE, SUITE 1500
Address 2:
City:	CLEVELAND
State:	OH
Zip:	44114
Phone:	216-367-8787
Fax:	216-241-4520
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1100 SUPERIOR AVENUE, SUITE 1500
Address 2:
City:	CLEVELAND
State:	OH
Zip:	44114
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
MARY BETH BERGENSTEIN	AGENT	1787932		YES	05-31-2015
AMY D. BRUNK	AGENT	8400378		YES	01-29-2016
BRENDA S. CIRIELLO-ROBINSON	AGENT	1768574		YES	10-06-2016
TERRALYN C. COLOSIMO	AGENT	1754015		YES	11-13-2015
MARK CORNELL	AGENT	15740419		YES	03-14-2016
MEGHAN F. GEORGE	AGENT	16805703		YES	03-07-2016
ELLEN JAKOVCIC	AGENT	1747025		YES	10-07-2016
CYNTHIA B. JOHNSTONE	AGENT	2386085		YES	06-10-2016
SULANE M. LAWHEAD	AGENT	2770522		YES	08-31-2016
CHRISTOPHER A LEITWEIN	AGENT	17102747		YES	04-12-2016
FREDERICK D. MCLAUGHLIN	AGENT	517252		YES	04-01-2016
MARY J. NIGRO	AGENT	2770583		YES	05-01-2016
MARIE G. SANCHEZ	AGENT	2213947		YES	01-20-2016
RICHARD L. SOBEK	AGENT	2043616		YES	05-13-2016
AMBER VENESILE	AGENT	2491211		YES	07-25-2016

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:	MIKE SARNOWSKI
Title:	COMPLIANCE ANALYST
Phone Number:	216-367-8854
Email Address:	MSARNOWSKI@OSWALDCOMPANIES.COM