Notification of Changes for Business Entity
General Information  
Business Entity Name: AMSDELL STORAGE VENTURES XVIII, LLC
Incorporation / Formation Date:  
FEIN: 47-1092892
Ohio License Number:
NPN:
DBA / Trade Name:  
State of Domicile: OH
County: CUYAHOGA
Business Address  
Address 1: 20445 EMERALD PARKWAY DRIVE
Address 2: SUITE 220
City: CLEVELAND
State: OH
Zip: 44135
Phone: 2164580670
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 20445 EMERALD PARKWAY DRIVE
Address 2: SUITE 220
City: CLEVELAND
State: OH
Zip: 44135
   
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
BADER COMPANY RDA 3122916   YES 07/31/17
XERCOR INSURANCE SERVICE TITLE RDA 17638364 YES   07/31/17
           
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: DANA PETRY
Title: COMPLIANCE MANAGER
Phone Number: 2164580670
Email Address: DPETRY@AMSDELLCOMPANIES.COM