Notification of Changes for Business Entity
General Information
Business Entity Name:	R G MCGRAW INS AGENCY INC
Incorporation / Formation Date:
FEIN:	31-1226207
Ohio License Number:	1104876
NPN:	1514099
DBA / Trade Name:
State of Domicile:	OH
County:	HAMILTON
Business Address
Address 1:	530 WALNUT STREET
Address 2:	5TH FLOOR
City:	CINCINNATI
State:	OH
Zip:	45202
Phone:	513-381-7881
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	38 FOUNTAIN SQUARE PLAZA
Address 2:	MAILDROP 10AT5R
City:	CINCINNATI
State:	OH
Zip:	45263
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:	THOMAS STELTENKAMP
Title:	COMPLIANCE OFFICER
Phone Number:	513-534-0137
Email Address:	THOMAS.STELTENKAMP@53.COM