Notification of Changes for Business Entity
General Information  
Business Entity Name: NEXT GENERATION INSURANCE GROUP, LLC
Incorporation / Formation Date: 10/29/2008
FEIN: 263632222
Ohio License Number: 39007
NPN: 12522277
DBA / Trade Name: SALLIE MAE INSURANCE SERVICES
State of Domicile: OH
County: SUFFOLK
Business Address  
Address 1: 241 A STREET, SUITE 400
Address 2:  
City: BOSTON
State: MA
Zip: 02210
Phone: 6172063241
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 241 A STREET, SUITE 400
Address 2:  
City: BOSTON
State: MA
Zip: 02210
   
Indicate the type of change you are seeking
Address Change: NO
Business Entity Name Change: NO Old Business Entity Name:  
New DBA/Trade Name: YES New DBA/Trade Name: GRADGUARD
Amend DBA/Trade Name: YES Old DBA/Trade Name: SALLIE MAE INSURANCE SERVICES
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
MARYANN MADDOX    
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: MARYANN MADDOX
Title: LICENSING & COMPLIANCE SPECIALIST
Phone Number: 2547296129
Email Address: MMADDOX@ILSAINC.COM