Notification of Changes for Business Entity
General Information
Business Entity Name:	HOMEINSURANCE COM LLC
Incorporation / Formation Date:
FEIN:	020773852
Ohio License Number:	35516
NPN:	8781838
DBA / Trade Name:
State of Domicile:	NC
County:	MECKLENBURG
Business Address
Address 1:	10101 CLAUDE FREEMAN DRIVE
Address 2:	SUTIE 100W
City:	CHARLOTTE
State:	NC
Zip:	28262
Phone:	8448285995
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	10101 CLAUDE FREEMAN DRIVE
Address 2:	SUTIE 100W
City:	CHARLOTTE
State:	NC
Zip:	28262
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
CANDICE LOFT	AGENT	1007761		YES	5/13/16
CARLOS OCASIO	AGENT	1091007		YES	5/13/16
CASEY DEASON	AGENT	1085940		YES	5/13/16
CAYLYN TEMPLE	AGENT	1082701		YES	5/13/16
CHANE DAVID BILLOW	AGENT	1065469		YES	5/13/16
CHARLES BREEDING	AGENT	1086681		YES	5/13/16
CHERITY WILLIAMS	AGENT	1039191		YES	5/13/16
CHRISTOPHER BURKAUSKAS	AGENT	813065		YES	5/13/16
CHRISTOPHER LESTER	AGENT	1001556		YES	5/13/16
CHRISTOPHER YORK BROOKS	AGENT	1025311		YES	5/13/16
COURTNEY SPRATLEY	AGENT	1056188		YES	5/13/16
DARREN GALE SWITZER	AGENT	1063237		YES	5/13/16
DAVID ARTHUR ULLRICH	AGENT	1063567		YES	5/13/16
DAVID BUSSHART	AGENT	1085356		YES	5/13/16
DAVID CONOR WELLS	AGENT	1058658		YES	5/13/16

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:	MELISSA PATTERSON
Title:	LICENSING COORDINATOR
Phone Number:	7049108870
Email Address:	MEPATTERSON@REDVENTURES.COM