Notification of Changes for Business Entity
General Information
Business Entity Name:	TRAVEL GUARD GROUP INC
Incorporation / Formation Date:	05/03/1994
FEIN:	39-1788198
Ohio License Number:	24334
NPN:	766344
DBA / Trade Name:
State of Domicile:	WI
County:	PORTAGE
Business Address
Address 1:	3300 BUSINESS PARK DR
Address 2:
City:	STEVENS POINT
State:	WI
Zip:	54482
Phone:	7152955977
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	3300 BUSINESS PARK DR
Address 2:
City:	STEVENS POINT
State:	WI
Zip:	54482
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
STEPHEN KEHL	CALL CENTER REPRESENTATIVE	16965795	YES		08/07/2018
DEAN SAWYER	CALL CENTER REPRESENTATIVE	6491097	YES		08/07/2018
CARLA THOMPSON	CALL CENTER REPRESENTATIVE	18711573	YES		08/07/2018

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:	SCOTT T. ADAMSKI
Title:	VICE PRESIDENT
Phone Number:	7152955977
Email Address:	CORPORATELICENSING@AIG.COM