Notification of Changes for Business Entity
General Information
Business Entity Name:	FREMONT FEDERAL CREDIT UNION
Incorporation / Formation Date:
FEIN:	34-4450599
Ohio License Number:	29813
NPN:	7817099
DBA / Trade Name:
State of Domicile:	OH
County:	SANDUSKY
Business Address
Address 1:	315 CROGHAN STREET
Address 2:
City:	FREMONT
State:	OH
Zip:	43420
Phone:	4193344434
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	315 CROGHAN STREET
Address 2:
City:	FREMONT
State:	OH
Zip:	43420
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
JODI CUMMINGS	MEMBER SERVICE COORDINATOR	7814777	YES		09/01/2012
KIM HILL	BRANCH MANAGER	7814778	YES		05/01/2012
LORA MAJOY	FINANCIAL SERVICES ASSOCIATE	16837265	YES		09/01/2014
KELLY HRUPCHO	BRANCH MANAGER	16877934	YES		05/01/2015
FRANK WEASNER	BRANCH MANAGER	7527645	YES		04/07/2015
KAITLIN HEATH	CONSUMER LOAN COORDINATOR	17975094	YES		06/15/2016
ALISHA STOUT	FINANCIAL SERVICES ASSOCIATE	17975158	YES		06/15/2016
KIMBERLY WEAVER	BRANCH MANAGER	17975188	YES		06/15/2016
KAMERON ALLICOCK	FINANCIAL SERVICES ASSOCIATE	18549916	YES		09/26/2017
TAMMY DAVIS	BRANCH MANAGER	18555985	YES		10/02/2017

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)	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:	WILLIAM NICHOLSON
Title:	VICE PRESIDENT OF LENDING
Phone Number:	(419) 334-4434
Email Address:	WNICHOLSON@FREMONTFCU.COM