Notification of Changes for Business Entity
General Information
Business Entity Name:	COMPREHENSIVE BENEFITS SOLUTIONS LLC
Incorporation / Formation Date:
FEIN:	26-3650530
Ohio License Number:	38823
NPN:	12348840
DBA / Trade Name:
State of Domicile:	OH
County:	BUTLER
Business Address
Address 1:	C/O SAXON FINANCIAL SERVICES INC
Address 2:	9636 CINCINNATI COLUMBUS RD
City:	WEST CHESTER
State:	OH
Zip:	45241
Phone:	513-573-0129
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	9636 CINCINNATI COLUMBUS RD
Address 2:
City:	WEST CHESTER
State:	OH
Zip:	45241
Indicate the type of change you are seeking
Address Change:	YES
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:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date

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:	DAVID W SMETANA
Title:	BUSINESS MANAGER
Phone Number:	513-774-5483
Email Address:	DSMETANA@GOSAXON.COM