Notification of Changes for Business Entity
General Information
Business Entity Name:	WESBANCO INSURANCE SERVICES
Incorporation / Formation Date:
FEIN:	550764295
Ohio License Number:	765386
NPN:	10918141
DBA / Trade Name:
State of Domicile:	OH
County:	JACKSON
Business Address
Address 1:	14621 STATE ROUTE 93
Address 2:
City:	JACKSON
State:	OH
Zip:	45640
Phone:	7402864175
Fax:
Business Web Site Address:
Business Email Address:	SARTHUR@WESBANCO.COM
Mailing Address
Address 1:	606 TOMMY BEEN RD
Address 2:
City:	OAK HILL
State:	OH
Zip:	45656
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
SUZANNA ARTHUR	AGENT	10918141	YES		05/18/2018

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:	SUZANNA ARTHUR
Title:	AGENT
Phone Number:	7402864175
Email Address:	SARTHUR@WESBANCO.COM