Notification of Changes for Business Entity
General Information  
Business Entity Name: AUTOMOBILE PROTECTION CORPORATION-APCO
Incorporation / Formation Date:  
FEIN: 581582432
Ohio License Number: 35292
NPN: 3179929
DBA / Trade Name:  
State of Domicile: OH
County: GWINNETT
Business Address  
Address 1: 6010 ATLANTIC BOULEVARD
Address 2:  
City: NORCROSS
State: GA
Zip: 30071
Phone: 6782251000
Fax: 7702462400
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 6010 ATLANTIC BOULEVARD
Address 2:  
City: NORCROSS
State: GA
Zip: 30071
   
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
NARGARET BOSWELL OFFICER 221462208   YES 05/15/2018
NARGARET BOSWELL SECRETARY 221462208   YES 05/15/2018
MARGARET BOSWELL ASSISTANT SECRETARY 221462208 YES   05/15/2018
ANDREW RUETTER DIRECTOR 482966451   YES 05/15/2018
JOHNATHON COUCH TREASURER 047600041   YES 05/15/2018
JOHNATHON COUCH OFFICER 047600041   YES 05/15/2018
MICHAEL GREGORICH DIRECTOR 043629261   YES 05/15/2018
DAVID VICKERS CFO & TREASURER 342545908 YES   05/15/2018
           
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)
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: CHRISTY KRICK
Title: LICENSING ADMINISTRATOR
Phone Number: 8124942472
Email Address: CKRICK@SUPPORTIVEIS.COM