Notification of Changes for Business Entity
General Information
Business Entity Name:	COMPASS CONSULTING GROUP LLC
Incorporation / Formation Date:
FEIN:	593301472
Ohio License Number:	38609
NPN:	3505230
DBA / Trade Name:
State of Domicile:	DE
County:	DELAWARE
Business Address
Address 1:	4348 SOUTHPOINT BLVD
Address 2:	SUITE 400
City:	JACKSONVILLE
State:	FL
Zip:	32216
Phone:	7702502900
Fax:
Business Web Site Address:
Business Email Address:	COMPLIANCE@ONEDIGITAL.COM
Mailing Address
Address 1:	200 GALLERIA PARKWAY
Address 2:	SUITE 1950
City:	ATLANTA
State:	GA
Zip:	30339
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	YES	Old Business Entity Name:	COMPASS CONSULTING GROUP, INC
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)
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:	HEATHER WOTHERSPOON
Title:	DIRECTOR OF LICENSING
Phone Number:	17702502900
Email Address:	COMPLIANCE@ONEDIGITAL.COM