| Notification of Changes for Business Entity |
| General Information | |
| Business Entity Name: | AMERICAN TITLE SERVICES, LLC |
| Incorporation / Formation Date: | 12/12/2008 |
| FEIN: | 26-3906533 |
| Ohio License Number: | 39304 |
| NPN: | 13369761 |
| DBA / Trade Name: | AMERICAN TITLE SERVICES, LLC DBA 360 AMERICAN TITLE SERVICES |
| State of Domicile: | KY |
| County: | KENTON |
| Business Address | |
| Address 1: | 2400 CHAMBER CENTER DR. #102 |
| Address 2: | |
| City: | FT. MITCHELL |
| State: | KY |
| Zip: | 41017 |
| Phone: | 859-344-0200 |
| Fax: | 859-757-2492 |
| Business Web Site Address: | 360ATS.COM |
| Business Email Address: | LISA@360ATS.COM |
| Mailing Address | |
| Address 1: | 2400 CHAMBER CENTER DRIVE, #102 |
| Address 2: | |
| City: | FT. MITCHELL |
| State: | KY |
| Zip: | 41017 |
| | |
| 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: | 360 AMERICAN TITLE SERVICES |
| Amend DBA/Trade Name: | NO | Old DBA/Trade Name: | |
| Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors: | YES |
| | |
| 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 | PAT CARNEY LIVES OUT OF STATE AND MAINTAINS FULL TIME EMPLOYMENT OUTSIDE OF OWNERSHIP.
PAT HAS WORKED WITH REQUIRE AND CURRENTLY WORKS WITH CLOSING INSIGHT AND IS A SELF EMPLOYED CONSULTANT. |