Notification of Changes for Business Entity
General Information
Business Entity Name:	OHIO UNIVERISTY CREDIT UNION
Incorporation / Formation Date:
FEIN:	31-6040060
Ohio License Number:	34618
NPN:	8849925
DBA / Trade Name:
State of Domicile:	OH
County:	ATHENS
Business Address
Address 1:	944 EAST STATE STREET
Address 2:
City:	ATHENS
State:	OH
Zip:	45701
Phone:	740-597-2800
Fax:	740-597-2833
Business Web Site Address:
Business Email Address:	SPARKER@OUCU.ORG
Mailing Address
Address 1:	944 EAST STATE STREET
Address 2:
City:	ATHENS
State:	OH
Zip:	45701
Indicate the type of change you are seeking
Address Change:	YES
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
ANNIE HOLBERT	MSR	18037829	YES		7/29/2016
MICHAEL KRALL	ABM	17275567	YES		7/29/2016

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:	SHANNA PARKER
Title:	BRANCH LENDING AND SUPPORT SUPERVISOR
Phone Number:	740-597-2800
Email Address:	SPARKER@OUCU.ORG