Notification of Changes for Business Entity
General Information
Business Entity Name:	S P AGENCY, INC.
Incorporation / Formation Date:	05/21/1970
FEIN:	31-0790252
Ohio License Number:	2955
NPN:	774235
DBA / Trade Name:
State of Domicile:	OH
County:	HAMILTON
Business Address
Address 1:	4500 COOPER RD STE 100
Address 2:
City:	CINCINNATI
State:	OH
Zip:	45242
Phone:	513-985-3600
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	4500 COOPER RD STE 100
Address 2:
City:	CINCINNATI
State:	OH
Zip:	45242
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
THOMAS A. KATHMAN	PRODUCER	2769609		YES	10/02/2017

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:	TERRI K TODD
Title:	LICENSING
Phone Number:	513-985-3600
Email Address:	TERRI@SPAGENCY.COM