Notification of Changes for Business Entity
General Information  
Business Entity Name: DUNBARRE INSURANCE AGENCY, LLC
Incorporation / Formation Date:  
FEIN: 463661691
Ohio License Number: 1007408
NPN:
DBA / Trade Name: DLF INSURANCE MARKETING
State of Domicile: DE
County: NEW CASTLE
Business Address  
Address 1: 919 N. MARKET STREET
Address 2: SUITE 725
City: WILMINGTON
State: DE
Zip: 19801
Phone: 3175746257
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 919 N. MARKET STREET
Address 2: SUITE 725
City: WILMINGTON
State: DE
Zip: 19801
   
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
           
Members, Owners, Partners, Officers and Directors
Name Title Identifying # Add Delete Eff. Date
JEFFREY S. LANGE PRESIDENT & CEO 565577001   YES 01/31/17
JAMES D. PURVIS TREASURER 254418911   YES 01/31/17
DANIEL J. TOWRISS SECRETARY 316821525   YES 01/31/17
DOUGLAS G. WOLFF PRESIDENT 321687176 YES   01/31/17
BARRY G. WARD TREASUER & SVP 400963186 YES   01/31/17
JOHN F. GUYOT SECRETARY & SVP 512788950 YES   01/31/17
CHRISTOPHER D. SWICKARD VP & ASSISTANT SECRETARY 515805291 YES   01/31/17
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) NO
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? NO
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: MEGAN WEAVER
Title: COMPLIANCE DOCUMENT SPECIALIST
Phone Number: 3175746257
Email Address: MEGAN.WEAVER@GUGGENHEIMINSURANCE.COM