Notification of Changes for Business Entity
General Information
Business Entity Name:	JUNCTION BUICK GMC, INC.
Incorporation / Formation Date:	11/1998
FEIN:	34-1880875
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	GEAUGA
Business Address
Address 1:	12423 RAVENNA ROAD
Address 2:
City:	CHARDON
State:	OH
Zip:	44024
Phone:	4402855700
Fax:	4402792300
Business Web Site Address:	JUNCTIONGM.COM
Business Email Address:	DBRUGH@JUNCTIONGM.COM
Mailing Address
Address 1:	PO BOX 228
Address 2:
City:	CHARDON
State:	OH
Zip:	44024
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:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date
KYLE GILMORE	BUSINESS MANAGER		YES

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:	DAPHNE ANDERSON
Title:	OFFICE MANAGER
Phone Number:	4402855700
Email Address:	DBRUGH@JUNCTIONGM.COM