Notification of Changes for Business Entity
General Information
Business Entity Name:	D&E FINANCIAL SERVICES AGENCY, INC.
Incorporation / Formation Date:	08/19/1987
FEIN:	34-1559920
Ohio License Number:	3145
NPN:	1882397
DBA / Trade Name:
State of Domicile:	OH
County:	SUMMIT
Business Address
Address 1:	1653 MERRIMAN RD.
Address 2:	SUITE 201
City:	AKRON
State:	OH
Zip:	44313
Phone:	330-434-0344
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1653 MERRIMAN RD.
Address 2:	SUITE 201
City:	AKRON
State:	OH
Zip:	44313
Indicate the type of change you are seeking
Address Change:	YES
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:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date

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)	YES
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	SECURITIES LICENSED THROUGH PLANMEMBER SECURITIES

Submitted By
Submitted By:	DAVID M. BROWN
Title:	PRESIDENT
Phone Number:	330-434-0344
Email Address:	DAVE.BROWN@DEFIANCIAL.NET