Notification of Changes for Business Entity
General Information
Business Entity Name:	PREFERRED CONCEPTS LLC
Incorporation / Formation Date:
FEIN:	71-0875939
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	NY
County:	NEW YORK
Business Address
Address 1:	14 WALL STREET
Address 2:	#1720
City:	NEW YORK
State:	NY
Zip:	10005
Phone:	646-218-3269
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	14 WALL STREET
Address 2:	#1720
City:	NEW YORK
State:	NY
Zip:	10005
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
CHRISTOPHER TREANOR	RDA	4648457		YES	12/30/2015

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:	MEGAN IRELAND
Title:	LICENSING SPECIALIST
Phone Number:	919-653-5407
Email Address:	MEGAN.IRELAND@REGED.COM