Notification of Changes for Business Entity
General Information
Business Entity Name:	SOUTHWEST BUSINESS CORPORATION
Incorporation / Formation Date:
FEIN:	751553739
Ohio License Number:	27122
NPN:
DBA / Trade Name:
State of Domicile:	TX
County:	BEXAR
Business Address
Address 1:	9311 SAN PEDRO
Address 2:	SUITE 600
City:	SAN ANTONIO
State:	TX
Zip:	78216
Phone:	2105251241
Fax:
Business Web Site Address:
Business Email Address:	LICENSING@SWBC.COM
Mailing Address
Address 1:	9311 SAN PEDRO
Address 2:	SUITE 600
City:	SAN ANTONIO
State:	TX
Zip:	78216
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
SIMON GUERRA	AGENT	17400522	YES		09/28/2016
ANA HIGA-SANCHEZ	AGENT	17143472	YES		09/28/2016
BRENDA HILLE	AGENT	17322301	YES		09/28/2016
MICHAEL JASSO	AGENT	16016556	YES		09/28/2016
SABRINA KRUEGER	AGENT	17470109	YES		09/28/2016
JENNIFER LOPEZ	AGENT	9308114	YES		09/28/2016
MONICA LOPEZ	AGENT	7751336	YES		09/28/2016
ANGELA MARTINEZ	AGENT	17039601	YES		09/28/2016
PATRICIA MEDINA	AGENT	10148767	YES		09/28/2016
DIANA METTER	AGENT	1892009	YES		09/28/2016
BEARICE MORENO	AGENT	14727870	YES		09/28/2016
BROOKE MORGAN	AGENT	17193394	YES		09/28/2016
DANIEL NICHOLS	AGENT	11599293	YES		09/28/2016
DANNY PINEDO	AGENT	16659024	YES		09/28/2016
NADIA RIVERA	AGENT	7562118	YES		09/28/2016

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:	JAMIE LUCIO
Title:	LICENSING & COMPLIANCE ADMINISTRATOR
Phone Number:	2103217285
Email Address:	LICENSING@SWBC.COM