Notification of Changes for Business Entity
General Information
Business Entity Name:	TOLEDO POLICE FEDERAL CREDIT UNION
Incorporation / Formation Date:
FEIN:	344450759
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	LUCAS
Business Address
Address 1:	4280 HEATHERDOWNS
Address 2:
City:	TOLEDO
State:	OH
Zip:	43614
Phone:	419.385.0101
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	4280 HEATHERDOWNS
Address 2:
City:	TOLEDO
State:	OH
Zip:	43614
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
ROBIN GREY	AGENT	9025713		YES	4/15/2016
LARRAINE FORD	AGENT	8885495		YES	4/15/2016
LARRAINE FORD	RDA	8885495		YES	4/15/2016
RYAN HIEBER	AGENT	17505475	YES		4/15/2016
RYAN HIEBER	RDA	17505475	YES		4/15/2016
TERESA ESCOBAR	AGENT	8885489	YES		4/15/2016
EUGINA KUSZ	AGENT	8885488	YES		4/15/2016
CINDY LANGENDERFER	AGENT	8885496	YES		4/15/2016
TIFFANY RUSSELL	AGENT	17505481	YES		4/15/2016
NOREEN SHANK	AGENT	8885490	YES		4/15/2016

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)	YES
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?	YES
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement	BANKING/CREDIT UNION

Submitted By
Submitted By:	RYAN HIEBER
Title:	CHIEF EXECUTIVE OFFICER
Phone Number:	419.385.0101
Email Address:	RHIEBER@TPOLCU.COM