Notification of Changes for Business Entity
General Information
Business Entity Name:	THE GENERAL AUTOMOBILE INSURANCE SERVICES OF OHIO, INC
Incorporation / Formation Date:	03/21/1997
FEIN:	621684228
Ohio License Number:	3703
NPN:	1901822
DBA / Trade Name:
State of Domicile:	OH
County:	CUYAHOGA
Business Address
Address 1:	6200 OAK TREE BLVD., SUITE 200
Address 2:
City:	INDEPENDENCE
State:	OH
Zip:	44131
Phone:	800-2801466
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	2636 ELM HILL PIKE, SUITE 510
Address 2:
City:	NASHVILLE
State:	TN
Zip:	37214
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)
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:	RENEE PIERCE
Title:	DIRECTOR, CORPORATE GOVERNANCE
Phone Number:	615-744-1351
Email Address:	RPIERCE@THEGENERAL.COM