Notification of Changes for Business Entity
General Information  
Business Entity Name: TOWERS WATSON DELAWARE INC.
Incorporation / Formation Date:  
FEIN: 53-0181291
Ohio License Number: 25556
NPN: 1633049
DBA / Trade Name:  
State of Domicile: DE
County: KENT
Business Address  
Address 1: 160 GREENTREE DRIVE
Address 2: SUITE 101
City: DOVER
State: DE
Zip: 19904
Phone: 973-290-2540
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 8 CAMPUS DRIVE
Address 2: 4TH FLOOR
City: PARSIPPANY
State: NJ
Zip: 07054
   
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
ALYSSA WILLIAMSON AGENT 10509912   YES 4/15/2016
ANNA DANT AGENT 16401727   YES 04/15/2016
MEREDITH DE GUIRE AGENT 17881607 YES   05/01/2016
ROBIN GANTZ AGENT 1093734 YES   05/01/2016
ERICA ROSE FOLK AGENT 17771427 YES   05/01/2016
SCOTT ROTHS AGENT 7832098 YES   05/01/2016
MAYUMI SAKAMOTO AGENT 17797827 YES   05/01/2016
BETSY VARY AGENT 1092580 YES   05/01/2016
ROBBIN OUTLAW AGENT 990672 YES   05/01/2016
           
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: ELIZABETH GRELLNER
Title: ASSISTANT VICE PRESIDENT FOR INSURANCE
Phone Number: 314-719-5619
Email Address: BETH.GRELLNER@WILLISTOWERSWATSON.COM