Notification of Changes for Business Entity
General Information
Business Entity Name:	THE JAMES B. OSWALD COMPANY
Incorporation / Formation Date:	08/16/1915
FEIN:	34-0445620
Ohio License Number:	829
NPN:	687146
DBA / Trade Name:	OSWALD COMPANIES
State of Domicile:	OH
County:	CUYAHOGA
Business Address
Address 1:	1100 SUPERIOR AVENUE, SUITE 1500
Address 2:
City:	CLEVELAND
State:	OH
Zip:	44114
Phone:	216-367-8787
Fax:	216-241-4520
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1100 SUPERIOR AVENUE, SUITE 1500
Address 2:
City:	CLEVELAND
State:	OH
Zip:	44114
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
AMBER MARIE SABEL	AGENT	8424311	YES		10-01-2018
DELORES WOLF	AGENT	2515942	YES		05-21-2018
JACOB SIMON	AGENT	18541391	YES		10-01-2018
JESSICA BALES	AGENT	18847976	YES		07-18-2018
JESSICA MARIE KOSIEWICZ	AGENT	5331019	YES		04-23-2018
KEVIN TIMOTHY VAN GILDER	AGENT	489125	YES		10-16-2018
KIMBERLY A KLUEVER	AGENT	1833698	YES		05-21-2018
MELANIE ELIZABETH MYERS	AGENT	18950048	YES		10-22-2018
MELINDA KATHLEEN BOWER	AGENT	16710463	YES		09-17-2018
MELISSA SCIRIA	AGENT	8419027	YES		03-26-2018
PHILLIP MICHAEL DENT	AGENT	17004813	YES		07-23-2018
RHONDA D GREGORY	AGENT	2341933	YES		07-23-2018
STEVEN HOPP	AGENT	302076	YES		04-30-2018
STEVEN STROM	AGENT	17495090	YES		05-21-2018
TINA M MURRAY	AGENT	18571169	YES		03-26-2018

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)
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:	MIKE SARNOWSKI
Title:	COMPLIANCE ANALYST
Phone Number:	216-367-8854
Email Address:	MSARNOWSKI@OSWALDCOMPANIES.COM