Notification of Changes for Business Entity
General Information
Business Entity Name:	EARLY, CASSIDY & SCHILLING, LLC
Incorporation / Formation Date:	08/08/2016
FEIN:	81-3485825
Ohio License Number:	1126146
NPN:	18121427
DBA / Trade Name:
State of Domicile:	DE
County:	NEW CASTLE
Business Address
Address 1:	15200 OMEGA DRIVE
Address 2:	SUITE 100
City:	ROCKVILLE
State:	MD
Zip:	20850
Phone:	301-948-5800
Fax:
Business Web Site Address:	WWW.ECSINSURE.COM
Business Email Address:
Mailing Address
Address 1:	15200 OMEGA DRIVE
Address 2:	SUITE 100
City:	ROCKVILLE
State:	MD
Zip:	20850
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	YES	Old Business Entity Name:	EARLY, CASSIDY & SCHILLING, IN
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:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date
CHRIS MICHAEL WARREN	PRODUCER	9605376	YES		11/1/16

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:	ANDREW G. CASSIDY
Title:	EXEC. VICE PRESIDENT
Phone Number:	301-948-5800
Email Address:	STRINGERMG@ECSINSURE.COM