Notification of Changes for Business Entity
General Information
Business Entity Name:	HOSKET ULEN INSURANCE SOLUTIONS LLC
Incorporation / Formation Date:	03/12/2008
FEIN:	261515656
Ohio License Number:	38376
NPN:	11475137
DBA / Trade Name:
State of Domicile:	OH
County:	FRANKLIN
Business Address
Address 1:	555 METRO PL N SUITE 200
Address 2:
City:	DUBLIN
State:	OH
Zip:	43017
Phone:	614-339-1771
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	555 METRO PL N SUITE 200
Address 2:
City:	DUBLIN
State:	OH
Zip:	43017
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	YES	New DBA/Trade Name:	COVERAGEHUT.COM
Amend DBA/Trade Name:	NO	Old DBA/Trade Name:
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)
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:	BRADLEY HOSKET
Title:	PARTNER
Phone Number:	6143391771
Email Address:	BRAD@HOSKETULEN.COM