| Notification of Changes for Business Entity |
| General Information | |
| Business Entity Name: | CLARK-MORTENSON AGENCY, INC. |
| Incorporation / Formation Date: | 07/01/1999 |
| FEIN: | 02-0508769 |
| Ohio License Number: | 954600 |
| NPN: | 3353589 |
| DBA / Trade Name: | |
| State of Domicile: | NH |
| County: | CHESHIRE |
| Business Address | |
| Address 1: | 102 MAIN STREET |
| Address 2: | PO BOX 606 |
| City: | KEENE |
| State: | NH |
| Zip: | 03431 |
| Phone: | 6033522121 |
| Fax: | |
| Business Web Site Address: | |
| Business Email Address: | SFOX@CLARK-MORTENSON.COM |
| Mailing Address | |
| Address 1: | PO BOX 606 |
| Address 2: | |
| City: | KEENE |
| State: | NH |
| Zip: | 03431 |
| | |
| 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 |
| | |
| 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 | |