Notification of Changes for Business Entity
General Information
Business Entity Name:	THE JAMES B. OSWALD COMPANY
Incorporation / Formation Date:	08/16/1915
FEIN:	34-0445620
Ohio License Number:	829
NPN:	687146
DBA / Trade Name:	OSWALD COMPANIES
State of Domicile:	OH
County:	CUYAHOGA
Business Address
Address 1:	1100 SUPERIOR AVENUE, SUITE 1500
Address 2:
City:	CLEVELAND
State:	OH
Zip:	44114
Phone:	216-367-8787
Fax:	216-241-4520
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1100 SUPERIOR AVENUE, SUITE 1500
Address 2:
City:	CLEVELAND
State:	OH
Zip:	44114
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
JARED BARKER	AGENT	17314183	YES		6/09/2016
ERIN ELIZABETH BLEVINS	AGENT	15802325	YES		5/23/2016
EUGENIA B CHAHDA	AGENT	9261330	YES		6/01/2015
SHAUN DALLAS COX	AGENT	17206536	YES		4/05/2016
SUSAN HUNT HARMAN	AGENT	7497068	YES		7/16/2009
TESS HOOGEVEEN	AGENT	17901711	YES		5/11/2016
ELLEN JAKOVCIC	AGENT	1747025	YES		8/15/2016
TRACEY JAYCOX	AGENT	9122852	YES		1/12/2016
JESSICA MARIE JUNG	AGENT	17900188	YES		4/03/2016
MACKENZIE MCALINDON	AGENT	17794982	YES		12/04/2015
SARAH ANN MAJESKI	AGENT	17914991	YES		4/22/2016
RUSSELL T. MCALONIE	AGENT	2557247	YES		1/04/2016
SARA MILLER	AGENT	18025307	YES		4/18/2016
SUSAN CHRISTINE RUSSO	AGENT	4587369	YES		4/28/2014
KIMBERLEY ANN SASON	AGENT	17672462	YES		8/01/2015

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:	MIKE SARNOWSKI
Title:	COMPLIANCE ANALYST
Phone Number:	216-367-8854
Email Address:	MSARNOWSKI@OSWALDCOMPANIES.COM