Notification of Changes for Business Entity
General Information
Business Entity Name:	QUEST FEDERAL CREDIT UNION
Incorporation / Formation Date:
FEIN:	341046647
Ohio License Number:	34680
NPN:	8853507
DBA / Trade Name:
State of Domicile:	OH
County:	HARDIN
Business Address
Address 1:	12837 US HWY 68
Address 2:
City:	KENTON
State:	OH
Zip:	43326
Phone:	4196744998
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	12837 US HWY 68
Address 2:
City:	KENTON
State:	OH
Zip:	43326
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
RICHARD CLARK	OFFICER	18372751	YES		04/07/17

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)	YES
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?	YES
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement	BANKING

Submitted By
Submitted By:	ANDREA GOOD
Title:	CCO
Phone Number:	4196744998
Email Address:	AGOOD@QUESTFCU.COM