Notification of Changes for Business Entity
General Information  
Business Entity Name: POINTS AHEAD INC
Incorporation / Formation Date: 04/01/1991
FEIN: 341678135
Ohio License Number: 25392
NPN: 3745530
DBA / Trade Name: WASCOVICH INSURANCE AGENCY
State of Domicile: OH
County: SUMMIT
Business Address  
Address 1: 156 BEECHWOOD DRIVE
Address 2:  
City: NORTHFIELD
State: OH
Zip: 44067
Phone: 3302123962
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 156 BEECHWOOD DRIVE
Address 2:  
City: NORTHFIELD
State: OH
Zip: 44067
   
Indicate the type of change you are seeking
Address Change: YES
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: NO
   
Licensed Producers
Name Title NPN Add Delete Eff. Date
           
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: TERENCE R WASCOVICH
Title: PRESIDENT
Phone Number: 3302123962
Email Address: TWASCOVICH@ROADRUNNER.COM