Notification of Changes for Business Entity
General Information
Business Entity Name:	HOWARD HANNA INSURANCE SERVICES INC
Incorporation / Formation Date:	05/24/1985
FEIN:	061575766
Ohio License Number:	25325
NPN:	3700152
DBA / Trade Name:
State of Domicile:	OH
County:	USA
Business Address
Address 1:	6000 PARKLAND AVE.
Address 2:
City:	MAYFIELD HEIGHTS
State:	OH
Zip:	44124
Phone:	216-447-4477
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	6000 PARKLAND AVE.
Address 2:
City:	MAYFIELD HEIGHTS
State:	OH
Zip:	44124
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
BARBARA SAMS	PRODUCER	2049306	YES		02/05/2016
LYNN STEWART BATES	PRODUCER	16411956	YES		02/05/2016
GISELA GAAB	PRODUCER	13224188	YES		02/05/2016
RONALD KLEPPICK	PRODUCER	7466607	YES		02/05/2016
KATHY LYNCH	PRODUCER	2063178	YES		02/05/2016
LISA BEHE	PRODUCER	8617206	YES		02/05/2016
SUSAN RIVERS	PRODUCER	13438203	YES		02/05/2016
DANIELLE GRASS	PRODUCER	11674781	YES		02/05/2016
ALEXANDER BENEDICT	PRODUCER	17711015	YES		02/05/2016
DAVID MARTZ	PRODUCER	15846168	YES		02/05/2016
LAUREN MILLER	PRODUCER	17364569	YES		02/05/2016
RACHELLE BUNNELL	PRODUCER	16669399	YES		02/05/2016
PAMELA BYER	PRODUCER	8070547	YES		02/05/2016
SARA FORD	PRODUCER	16724710	YES		02/05/2016
PATRICIA FISCHER	PRODUCER	7957971	YES		02/05/2016

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:	DANIELLE SHEARER
Title:	DIVISION OPERATIONS MANAGER
Phone Number:	412-696-0310
Email Address:	DSHEARER@HOWARDHANNA.COM