Notification of Changes for Business Entity
General Information
Business Entity Name:	THE JAMES B. OSWALD COMPANY
Incorporation / Formation Date:	08/16/1915
FEIN:	34-0445620
Ohio License Number:	829
NPN:	687146
DBA / Trade Name:	OSWALD COMPANIES
State of Domicile:	OH
County:	CUYAHOGA
Business Address
Address 1:	1100 SUPERIOR AVENUE, SUITE 1500
Address 2:
City:	CLEVELAND
State:	OH
Zip:	44114
Phone:	216-367-8787
Fax:	216-241-4520
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1100 SUPERIOR AVENUE, SUITE 1500
Address 2:
City:	CLEVELAND
State:	OH
Zip:	44114
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
BLAKE ALLEN DOTY	AGENT	16103818		YES	03-01-2018
ERIC KUCHENMEISTER	AGENT	1854929		YES	09-19-2017
JAMES KAVALEC	AGENT	17103947		YES	09-29-2017
JUSTIN TYLER ALLEN	AGENT	17771483		YES	11-29-2017
KEVIN MICHAEL HERAGHTY	AGENT	17562990		YES	10-27-2017
KHADAR SOUSSOU	AGENT	17771465		YES	11-25-2017
LISA MARIE MICHALK	AGENT	15625544		YES	03-21-2018
LISA WITTMER LAVELLE	AGENT	3679038		YES	02-16-2018
MELINDA JO MCNEELY	AGENT	16380688		YES	10-19-2017
MICHELE MACFARLANE	AGENT	8417790		YES	01-05-2018
PATRICIA R KUSINSKI	AGENT	2776202		YES	02-19-2018
RICHARD C SCHOELER	AGENT	1771139		YES	12-31-2017
SUSAN CHRISTINE RUSSO	AGENT	4587369		YES	01-19-2018
TERI LYN MASSARO	AGENT	7023546		YES	09-01-2017
THOMAS WILLIAM BREW	AGENT	17187290		YES	03-16-2018

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:	MIKE SARNOWSKI
Title:	COMPLIANCE ANALYST
Phone Number:	216-367-8854
Email Address:	MSARNOWSKI@OSWALDCOMPANIES.COM