Notification of Changes for Business Entity
General Information
Business Entity Name:	BROWN & BROWN OF NEW JERSEY, LLC
Incorporation / Formation Date:
FEIN:	221827899
Ohio License Number:	37132
NPN:
DBA / Trade Name:
State of Domicile:	NJ
County:	CAPE MAY
Business Address
Address 1:	1314 SOUTH SHORE RD
Address 2:
City:	MARMORA
State:	NJ
Zip:	08223
Phone:	8132224287
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	P.O. BOX 1187
Address 2:
City:	MARMORA
State:	NJ
Zip:	08223
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
CHARLES LYDECKER	PRESIDENT	098626626		YES	08/28/2017
KRISTEN HANDEL	VICE PRESIDENT	8106855		YES	08/28/2017
THOMAS TINSLEY	TREASURER	266903719		YES	08/28/2017
RICHARD KNUDSON	VICE PRESIDENT	1018844		YES	08/28/2017
RICHARD KNUDSON	PRESIDENT	1018844	YES		08/28/2017
STEVE RANKIN	VICE PRESIDENT	8960610	YES		08/28/2017
STEVE RANKIN	RDA	8960610	YES		08/28/2017
THOMAS LANZILOTTI	VICE PRESIDENT	185423890	YES		08/28/2017
SUSAN LEAR	TREASURER	3666565	YES		08/28/2017
KRISTEN HANDEL	RDA	8106855		YES	08/28/2017

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
CHARLES LYDECKER	PRESIDENT	098626626		YES	08/28/2017
KRISTEN HANDEL	VICE PRESIDENT	8106855		YES	08/28/2017
THOMAS TINSLEY	TREASURER	266903719		YES	08/28/2017
RICHRD KNUDSON	VICE PRESIDENT	1018844		YES	08/28/2017
RICHARD KNUDSON	PRESIDENT	1018844	YES		08/28/2017
STEVE RANKIN	VICE PRESIDENT	8960610	YES		08/28/2017
STEVE RANKIN	RDA	8960610	YES		08/28/2017
THOMAS LANZILOTTI	VICE PRESIDENT	185423890	YES		08/28/2017
SUSAN LEAR	TREASURER	3666565	YES		08/28/2017
KRISTEN HANDEL	RDA	8106855		YES	08/28/2017

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:	TAMMY MILLER
Title:	CORPORATE LICENSING MANAGER
Phone Number:	813-222-4287
Email Address:	TMILLER@BBINS.COM