Notification of Changes for Business Entity
General Information
Business Entity Name:	UNIGLOBE WEEKLEY TRAVEL
Incorporation / Formation Date:
FEIN:	311275067
Ohio License Number:
NPN:
DBA / Trade Name:	WEEKLEY TRAVEL
State of Domicile:	OH
County:	USA
Business Address
Address 1:	128 S 30TH ST
Address 2:
City:	NEWARK
State:	OH
Zip:	43055
Phone:	7403448785
Fax:
Business Web Site Address:	WEEKLEYTTAVEL.COM
Business Email Address:	VONIESSA@WEEKLEYTRAVEL.COM
Mailing Address
Address 1:	128 S 30TH ST
Address 2:
City:	NEWARK
State:	OH
Zip:	43055
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
VONIESSA BROWNFIELD	PRES	6054555	YES		07/19/17
GEORGETTE KREAGER	MGR	16942073	YES		12/18/18
JULIE WHETSTONE	AGENT	3239694	YES		05/17/2017

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
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