Notification of Changes for Business Entity
General Information  
Business Entity Name: J.J.B. HILLIARD, W.L. LYONS, LLC
Incorporation / Formation Date:  
FEIN: 262333067
Ohio License Number: 38129
NPN: 10706117
DBA / Trade Name:  
State of Domicile: KY
County: JEFFERSON
Business Address  
Address 1: 500 WEST JEFFERSON STREET
Address 2:  
City: LOUISVILLE
State: KY
Zip: 40202
Phone: 800-444-1854
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 500 WEST JEFFERSON STREET
Address 2:  
City: LOUISVILLE
State: KY
Zip: 40202
   
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
CHAMBERS MOORE VP, DRLP NPN 17388523 YES   06/22/2017
           
Members, Owners, Partners, Officers and Directors
Name Title Identifying # Add Delete Eff. Date
THOMAS KESSINGER III PRESIDENT NPN 2479238 YES   06/16/2017
JAMES ALLEN PRESIDENT SSN 400644332   YES 06/16/2017
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: WESLEY RINGO
Title: CHIEF COMPLIANCE OFFICER
Phone Number: 502-588-8618
Email Address: HLREG@HILLIARD.COM