Notification of Changes for Business Entity
General Information
Business Entity Name:	MARINER FINANCE LLC
Incorporation / Formation Date:
FEIN:	03-0433977
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	MD
County:	BALTIMORE
Business Address
Address 1:	8211 TOWN CENTER DRIVE
Address 2:
City:	NOTTINGHAM
State:	MD
Zip:	21236
Phone:	4105584369
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	8211 TOWN CENTER DRIVE
Address 2:
City:	NOTTINGHAM
State:	MD
Zip:	21236
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

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
JOSEPH MCCAW	DLRP	1056973	YES
CURTIS R MACKINSON	RDA	6821671		YES

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:	SCOTT FRANKLE
Title:	SENIOR EXECUTIVE/CAO
Phone Number:	410-558-4369
Email Address:	SFRANKLE@MARINERFINANCE.COM