Notification of Changes for Business Entity
General Information
Business Entity Name:	CAILOR FLEMING & ASSOCAITES, INC.
Incorporation / Formation Date:
FEIN:	341043104
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	MAHONING
Business Address
Address 1:	4610 MARKET STREET
Address 2:
City:	YOUNGSTOWN
State:	OH
Zip:	44512
Phone:	330-782-8068
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	PO BOX 3989
Address 2:
City:	YOUNGSTOWN
State:	OH
Zip:	44513
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
AIMEE E ELDON	AGENT	2256034		YES	08/18/2016
CHARLES W WOODMAN	AGENT	2208369		YES	08/18/2016
CHARLES W WOODMAN	EMPLOYEE	2208369		YES	08/18/2016
COLLEEN E O BOYLE	AGENT	1844672		YES	08/18/2016
DEBORAH A BURINK	AGENT	1895673		YES	08/18/2016
DONNA M MITULINSKI	AGENT	2225714		YES	08/18/2016
GEORGE A CULVER	AGENT	1928766		YES	08/18/2016
HEIDI D SCHMITT	AGENT	2228018		YES	08/18/2016
LEAN L BERNARD	AGENT	1753785		YES	08/18/2016
HOWARD W CAILOR, JR.	EMPLOYEE	516723		YES	08/18/2016
HOWARD W CAILOR, SR.	EMPLOYEE	2444584		YES	08/18/2016
JANET E DYER	AGENT	2341569		YES	08/18/2016
JEFFREY A MICHALENOK	EMPLOYEE	1493471		YES	08/18/2016
JEFFREY A MICHALENOK	RDA	1493471		YES	08/18/2016
JOHN E PALMER	AGENT	1633777		YES	08/18/2016

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
HOWARD W CAILOR, JR.	PRESIDENT	516723		YES	08/18/2016
JEFFREY A MICHALENOK	VICE PRESIDENT	1493471		YES	08/18/2016
JOHN E FLEMING	VICE PRESIDENT	519129		YES	08/18/2016

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:	TRENT CAILOR
Title:	PRESIDENT
Phone Number:	330-782-8625
Email Address:	TCAILOR@CAILORFLEMING.COM