Notification of Changes for Business Entity
General Information  
Business Entity Name: TRANSAM SECURITIES, INC.
Incorporation / Formation Date: 11/21/1986
FEIN: 59-2730348
Ohio License Number: 41118
NPN: 8971465
DBA / Trade Name:  
State of Domicile: FL
County: SEMINOLE
Business Address  
Address 1: 1111 DOUGLAS AVENUE
Address 2:  
City: ALTAMONTE SPRINGS
State: FL
Zip: 32714
Phone: 407-869-9800
Fax: 407-869-9700
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 9435 WATERSTONE BLVD.
Address 2: STE. 140
City: CINCINNATI
State: OH
Zip: 45249
   
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
JUDITH N. SANBORN DESIGNATED AGENT 7936257 YES   04/04/2016
           
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: DANA PORRELLO
Title: COMPLIANCE
Phone Number: 407-869-9800
Email Address: DANA@FINANCIALGROUP.COM