Notification of Changes for Business Entity
General Information
Business Entity Name:	BRUNSWICK COMPANIES
Incorporation / Formation Date:
FEIN:	34-1116861
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	SUMMIT
Business Address
Address 1:	2857 RIVIERA DR.
Address 2:
City:	AKRON
State:	OH
Zip:	44333
Phone:	330-864-8800
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	2857 RIVIERA DR.
Address 2:
City:	AKRON
State:	OH
Zip:	44333
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
RUTH M. PELL	AGENT	1704444	YES		11/21/2017
ALYSON A. LARSON	AGENT	NOT KNOWN		YES	11/22/2107
BARBARA M. KINDEL	AGENT	NOT KNOWN		YES	11/22/2017
CAROL A. LOCKSTEDT	AGENT	NOT KNOWN		YES	11/22/2017
CHRISTINA LYNN SCOTT	AGENT	NOT KNOWN		YES	11/22/2017
CHRISTINE LYNNE HOOSANGI	EMPLOYEE	NOT KNOWN		YES	11/22/2017
GABRIELLE ORIANNA WHITE	EMPLOYEE	NOT KNOWN		YES	11/22/2017
KATHERINE MARIE BARCLAY	AGENT	NOT KNOWN		YES	11/22/2017
SABRINA GINGRICH	AGENT	NOT KNOWN		YES	11/22/2017
SCOTT LEWIS SILVERMAN	AGENT	NOT KNOWN		YES	11/22/2017
WENDI S. VOLKERT	AGENT	NOT KNOWN		YES	11/22/2017

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:	TODD A. STEIN
Title:	PRESIDENT
Phone Number:	330-865-4242
Email Address:	DBAITZ@BRUNSWICKCOMPANIES.COM