Notification of Changes for Business Entity
General Information  
Business Entity Name: SPRINGLEAF CONSUMER LOAN, INC.
Incorporation / Formation Date:  
FEIN: 455415817
Ohio License Number:
NPN:
DBA / Trade Name:  
State of Domicile: IN
County: USA
Business Address  
Address 1: 601 NW SECOND ST.
Address 2:  
City: EVANSVILLE
State: IN
Zip: 47708
Phone: 8124685583
Fax:  
Business Web Site Address:  
Business Email Address: TRACEY.TERRY@SPRINGLEAF.COM
Mailing Address  
Address 1: 601 NW SECOND ST.
Address 2:  
City: EVANSVILLE
State: IN
Zip: 47708
   
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: NO
   
Licensed Producers
Name Title NPN Add Delete Eff. Date
BRETT LAMBERT SALES ASSOCIATE 17824211 YES   02/08/2016
RYAN LARUE SALES ASSOCIATE 17820460 YES   02/08/2016
           
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: SARAH.DURBIN
Title: ASSISTANT SECRETARY
Phone Number: 8124685759
Email Address: SARAH.DURBIN@SPRINGLEAF.COM