Notification of Changes for Business Entity
General Information
Business Entity Name:	THE HELP CONSULTING GROUP, LLC
Incorporation / Formation Date:
FEIN:	813628206
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	CUYAHOGA
Business Address
Address 1:	3100 EAST 45TH STREET
Address 2:	STE 424
City:	CLEVELAND
State:	OH
Zip:	44127
Phone:	2164965388
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	3571 WEST 126TH STR.
Address 2:
City:	CLEVELAND
State:	OH
Zip:	44111
Indicate the type of change you are seeking
Address Change:	YES
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

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:	BEVERLY DAVIS
Title:	OWNER
Phone Number:	2164965388
Email Address:	YOURINSURANCEWOMAN@GMAIL.COM