Notification of Changes for Business Entity
General Information  
Business Entity Name: WINTER GROUP, INC.
Incorporation / Formation Date: 04/24/2000
FEIN: 33-0923027
Ohio License Number: 39682
NPN: 8426741
DBA / Trade Name:  
State of Domicile: CA
County: SAN DIEGO
Business Address  
Address 1: 16935 WEST BERNARDO DRIVE
Address 2: SUITE 100
City: SAN DIEGO
State: OH
Zip: 92127
Phone: 858-444-3260
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 16935 WEST BERNARDO DRIVE
Address 2: SUITE 100
City: SAN DIEGO
State: CA
Zip: 92127
   
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
JARED DUNCAN PRESIDENT 8941041 YES   6/1/17
           
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: LELANY LIM
Title: CHIEF ADMINISTRATIVE OFFICER
Phone Number: 8584443260
Email Address: INFO@VALWESTINC.COM