Notification of Changes for Business Entity
General Information  
Business Entity Name: VOLDICO LLC
Incorporation / Formation Date: 07/19/2010
FEIN: 27-3092197
Ohio License Number: 41590
NPN: 15883589
DBA / Trade Name:  
State of Domicile: IN
County: RIPLEY
Business Address  
Address 1: 420 S BUCKEYE STREET
Address 2:  
City: OSGOOD
State: IN
Zip: 47037
Phone: 812-689-6740
Fax: 812-609-4350
Business Web Site Address: HTTP://WWW.VOLDICO.COM
Business Email Address: CUSTOMERINFO@VOLDICO.COM
Mailing Address  
Address 1: 420 S BUCKEYE STREET
Address 2:  
City: OSGOOD
State: IN
Zip: 47037
   
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
DOUGLAS J TRABEL PRODUCER 683699 YES   05/02/2018
CHARLOTTE L BAILEY PRODUCER 709928 YES   05/02/2018
LUCY HICKS WORRELL PRODUCER 1156307 YES   05/02/2018
TERRY KENTON WORRELL PRODUCER 971347 YES   05/02/2018
MARK R BURROWS PRODUCER 973731 YES   05/02/2018
MILTON B MINGO PRODUCER 1026670 YES   05/02/2018
MICHAEL THOMAS AYOUB PRODUCER 1069724 YES   05/02/2018
JENNIFER MICHELLE WILLIAMS PRODUCER 1148644 YES   05/02/2018
CHEYENNE MARIAH BROWN PRODUCER 1152405 YES   05/02/2018
           
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: JESSE HAESSIG
Title: VOLDICO LICENSING & CONTRACTING
Phone Number: 812-689-6740
Email Address: JHAESSIG@VOLDICO.COM