Notification of Changes for Business Entity
General Information
Business Entity Name:	THE SAVINGS BANK
Incorporation / Formation Date:	04/20/1912
FEIN:	314147910
Ohio License Number:	24751
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	PICKAWAY
Business Address
Address 1:	118 NORTH COURT ST.
Address 2:	P.O. BOX 310
City:	CIRCLEVILLE
State:	OH
Zip:	43113
Phone:	7407473191
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	P.O. BOX 310
Address 2:
City:	CIRCLEVILLE
State:	OH
Zip:	43113
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

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
MARK LIGHTLE	RDA	18085118	YES		08/29/2016

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:	MARK LIGHTLE
Title:	VICE PRESIDENT/RDA
Phone Number:	7404743191
Email Address:	MARK.LIGHTLE@THESAVINGSBANK.NET