Notification of Changes for Business Entity
General Information
Business Entity Name:	RAYS OF HEALTH INSURANCE AGENCY, LLC
Incorporation / Formation Date:	12/15/2015
FEIN:	810916748
Ohio License Number:	1153794
NPN:	18472891
DBA / Trade Name:
State of Domicile:	OH
County:	SUMMIT
Business Address
Address 1:	1447 TIMBERTOP DRIVE
Address 2:
City:	TALLMADGE
State:	OH
Zip:	44278
Phone:	3306085375
Fax:
Business Web Site Address:
Business Email Address:	ROHINSURANCE@OUTLOOK.COM
Mailing Address
Address 1:	1447 TIMBERTOP DRIVE
Address 2:
City:	TALLMADGE
State:	OH
Zip:	44278
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	YES	Old Business Entity Name:	M & AL MARKETING LLC
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)
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:	RAYMOND PINKERTON
Title:	PRINCIPAL
Phone Number:	3306085375
Email Address:	ROHINSURANCE@OUTLOOK.COM