Notification of Changes for Business Entity
General Information
Business Entity Name:	MCGRIFF, SEIBELS & WILLIAMS, INC.
Incorporation / Formation Date:
FEIN:	20-0468966
Ohio License Number:	33214
NPN:	7993792
DBA / Trade Name:
State of Domicile:	AL
County:	JEFFERSON
Business Address
Address 1:	2211 7TH AVE SOUTH
Address 2:
City:	BIRMINGHAM
State:	AL
Zip:	35233
Phone:	205-252-9871
Fax:	205-581-9404
Business Web Site Address:
Business Email Address:	JIJOHNSON@MCGRIFF.COM
Mailing Address
Address 1:	2211 7TH AVE SOUTH
Address 2:
City:	BIRMINGHAM
State:	AL
Zip:	35233
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
FRANK COCHRAN	PRODUCER	6759112	YES		01/24/2018
JUSTIN COMEAUX	PRODUCER	8299964	YES		01/24/2018
DANIEL CONBOY	PRODUCER	2853664	YES		01/24/2018
GARY COONEY	PRODUCER	1146545	YES		01/24/2018
WELDON CORBETT	PRODUCER	1172682	YES		01/24/2018
DAWN COTTON	PRODUCER	5803590	YES		01/24/2018
RICHARD COVINGTON	PRODUCER	7696647	YES		01/24/2018
SHANNON CURD	PRODUCER	5820186	YES		01/24/2018
JESSICA DAEHLER	PRODUCER	7019722	YES		01/24/2018
KERRI DAVIS	PRODUCER	5848916	YES		01/24/2018
STEVEN DAVIS	PRODUCER	326545	YES		01/24/2018
TRACY LEE DAVIS	PRODUCER	1296991	YES		01/24/2018
FRED ALBERT DAWSON, JR.	PRODUCER	1770948	YES		01/24/2018
JOSEPH DE PAEPE	PRODUCER	665072	YES		01/24/2018
HEATHER DEARBORN	PRODUCER	2229997	YES		01/24/2018

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:	JILLIAN JOHNSON
Title:	LICENSING COORDINATOR
Phone Number:	205-581-9422
Email Address:	JIJOHNSON@MCGRIFF.COM