Notification of Changes for Business Entity
General Information
Business Entity Name:	FARM ACCOUNTS COMPUTER TAX SERVICES INC
Incorporation / Formation Date:
FEIN:	34-1668607
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	HANCOCK
Business Address
Address 1:	1230 E SANDUSKY ST
Address 2:
City:	FINDLAY
State:	OH
Zip:	45840
Phone:	419-423-7061
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1230 E SANDUSKY ST
Address 2:
City:	FINDLAY
State:	OH
Zip:	45840
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
JUDY K RISNER	AGENT	7000935	YES		09/01/2016

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
DEIRDRE LEE CHRISTY	SECRETARY	16429510	YES		02/03/2016

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:	ROBERT CHRISTY
Title:	PRESIDENT
Phone Number:	419-423-7061
Email Address:	CIAGENCY@AOL.COM