Notification of Changes for Business Entity
General Information
Business Entity Name:	CONSUMERS ADVOCATE GROUP, LLC
Incorporation / Formation Date:	03/18/2013
FEIN:	462400533
Ohio License Number:	1072337
NPN:
DBA / Trade Name:
State of Domicile:	WA
County:	KITSAP
Business Address
Address 1:	18062 VIKING WAY NW
Address 2:
City:	POULSBO
State:	WA
Zip:	98370
Phone:	2068173333
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	18062 VIKING WAY NW
Address 2:
City:	POULSBO
State:	WA
Zip:	98370
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
FRANCINE POWEL

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:	FRANCINE POWEL
Title:	DESIGNATED PRODUCER
Phone Number:	2068173333
Email Address:	FRAN@CONSUMERSADVOCATE.ORG