Notification of Changes for Business Entity
General Information
Business Entity Name:	LOVITT & TOUCHE INC
Incorporation / Formation Date:
FEIN:	860490754
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	AZ
County:	PIMA
Business Address
Address 1:	7202 E ROSEWOOD #200
Address 2:
City:	TUCSON
State:	AZ
Zip:	85710
Phone:	520-722-3000
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	PO BOX 32702
Address 2:
City:	TUCSON
State:	AZ
Zip:	85751
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
GEORGE KETCHAM	VP	527764988		YES	04/18/2018
MARY KEERINS	VP	542560550		YES	04/18/2018
MATTHEW NELSON	VP	600764600	YES		04/18/2018
MARTIN SPONG	SR VP	600508837	YES		04/18/2018
JULIE FRIEDLY	VP	601388699	YES		04/18/2018
BRIAN WILDER	VP	527838787	YES		04/18/2018
JESSICA HUBER	CFO	505089558	YES		04/18/2018
RYAN PASSEY	VP	601161164	YES		04/18/2018
LISA LAVOIE	VP	033549058	YES		04/18/2018
LISA HEPPLER	VP	526658545	YES		04/18/2018
LAURIE HAAS	VP	550069080	YES		04/18/2018
CHARLES S TOUCHE	VP	601347491	YES		04/18/2018
KIMBERLY MANCK	VP	197549804	YES		04/18/2018
SHAWN ELLIS	VP	353728865	YES		04/18/2018
MAGDALENA OSBORN	VP	523596677	YES		04/18/2018

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:	JANNA BELL
Title:	LICENSING ADMIN
Phone Number:	812-886-0191
Email Address:	JBELL@SUPPORTIVEIS.COM