Notification of Changes for Business Entity
General Information
Business Entity Name:	HOMEINSURANCE COM LLC
Incorporation / Formation Date:
FEIN:	020773852
Ohio License Number:	35516
NPN:	8781838
DBA / Trade Name:
State of Domicile:	NC
County:	MECKLENBURG
Business Address
Address 1:	10101 CLAUDE FREEMAN DRIVE
Address 2:	SUTIE 100W
City:	CHARLOTTE
State:	NC
Zip:	28262
Phone:	8448285995
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	10101 CLAUDE FREEMAN DRIVE
Address 2:	SUTIE 100W
City:	CHARLOTTE
State:	NC
Zip:	28262
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
KYLE KNOLL	AGENT	1045877		YES	5/13/16
LARRY ANTHONY SGARLATA	AGENT	1054464		YES	5/13/16
LARRY W SHIELDS	AGENT	1091429		YES	5/13/16
LAURA SHEPARD	AGENT	1082184		YES	5/13/16
LAUREN HOPE SMITH	AGENT	1057597		YES	5/13/16
LAUREN KEELEY	AGENT	956833		YES	5/13/16
LAUREN LAMI	AGENT	1095387		YES	5/13/16
LAUREN LOUNTZIS	AGENT	1095404		YES	5/13/16
LAUREN MICHELLE THOMASSON	AGENT	1082235		YES	5/13/16
LAWRENCE MARTIN	AGENT	1055977		YES	5/13/16
LEAH F LONG	AGENT	1090997		YES	5/13/16
LESLIE ANN HELMS	AGENT	1056334		YES	5/13/16
LINDA ANN POOLE	AGENT	1048952		YES	5/13/16
LISA ANNE SORDI	AGENT	1058263		YES	5/13/16
LUIS THULA	AGENT	1051488		YES	5/13/16

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)	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:	MELISSA PATTERSON
Title:	LICENSING COORDINATOR
Phone Number:	7049108870
Email Address:	MEPATTERSON@REDVENTURES.COM