Notification of Changes for Business Entity
General Information  
Business Entity Name: TRIMMER INSURANCE AGENCY LLC
Incorporation / Formation Date:  
FEIN: 20-3998946
Ohio License Number: 33851
NPN: 8684820
DBA / Trade Name:  
State of Domicile: OH
County: FAIRFIELD
Business Address  
Address 1: 400 N. MEMORIAL DRIVE
Address 2:  
City: LANCASTER
State: OH
Zip: 43130
Phone: 740-654-0532
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 1200 GRAHAM ROAD
Address 2:  
City: CUYAHOGA FALLS
State: OH
Zip: 44224
   
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
ROBIN HAMMOND AGENT 7627882 YES   01/01/2018
BRIANNA TRIVELLI AGENT 18535181 YES   01/01/2018
GINA WAY AGENT 7807730 YES   01/01/2018
NATALIE HILLMAN AGENT 9602987 YES   01/01/2018
DEBORAH SMITH AGENT 3237232   YES 01/01/2018
JANIE GEIS AGENT 8208998 YES   01/01/2018
LAUREN MILLER AGENT 8188951 YES   01/01/2018
           
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: MARY MACKEY
Title: ACCOUNTING MANAGER
Phone Number: 330-920-8629
Email Address: MARY@WICHERT.COM