Notification of Changes for Business Entity
General Information  
Business Entity Name: BROWN & BROWN LONE STAR INSURANCE SERVICES, LLC
Incorporation / Formation Date:  
FEIN: 743018410
Ohio License Number: 34052
NPN: 7720229
DBA / Trade Name:  
State of Domicile: TX
County: BEXAR
Business Address  
Address 1: 3201 CHERRY RIDGE DR SUITE D405
Address 2:  
City: SAN ANTONIO
State: TX
Zip: 78230
Phone: 8132224287
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 3201 CHERRY RIDGE DR SUITE D405
Address 2:  
City: SAN ANTONIO
State: TX
Zip: 78230
   
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: YES Old DBA/Trade Name: ALAMO INSURANCE GROUP
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors: NO
   
Licensed Producers
Name Title NPN Add Delete Eff. Date
           
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) 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: TAMMY MILLER
Title: RETAIL LICENSING ADMINISTRATOR
Phone Number: 8132224287
Email Address: TMILLER@BBINS.COM