Notification of Changes for Business Entity
General Information
Business Entity Name:	BECKMAN WEIL SHEPARDSON LLC
Incorporation / Formation Date:	12/21/95
FEIN:	31-1126612
Ohio License Number:	937310
NPN:	16336352
DBA / Trade Name:
State of Domicile:	OH
County:	OHIO
Business Address
Address 1:	895 CENTRAL AVE, SUITE 300
Address 2:
City:	CINCINNATI
State:	OH
Zip:	45202
Phone:	513-621-2100
Fax:	513-621-0106
Business Web Site Address:	WWW.BECKMAN-WEIL.COM
Business Email Address:
Mailing Address
Address 1:	895 CENTRAL AVE.,SUITE 300
Address 2:
City:	CINCINNATI
State:	OH
Zip:	45202
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
MICHAEL A. BROWN	ATTORNEY	8169892	YES		06/01/16
LAURA A. LAMB	ATTORNEY	8642611		YES	07/15/15

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)	YES
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?	YES
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement	LAW FIRM

Submitted By
Submitted By:	PETER L. CASSADY
Title:	MEMBER/PARTNER
Phone Number:	513-621-2100
Email Address:	PETERCASSADY@BECKMAN-WEIL.COM