Notification of Changes for Business Entity
General Information
Business Entity Name:	NAVIGATORS MANAGEMENT COMPANY INC
Incorporation / Formation Date:
FEIN:	132771091
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	NEW YORK
Business Address
Address 1:	ONE PENN PLAZA 32ND FLOOR
Address 2:
City:	NEW YORK
State:	NY
Zip:	10119
Phone:	914-934-8999
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	400 ATLANTIC ST 8TH FLOOR
Address 2:
City:	STAMFORD
State:	CT
Zip:	06901
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
LORIANN LOWERY	RDA	1227831		YES	10/10/2016
LORIANN LOWERY	PARTNER	1227831		YES	10/10/2016

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)
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:	JANNA BELL
Title:	LICENSING ADMIN
Phone Number:	812-886-0191
Email Address:	JBELL@SUPPORTIVEIS.COM