Notification of Changes for Business Entity
General Information
Business Entity Name:	KEMBA FINANCIAL CREDIT UNION
Incorporation / Formation Date:
FEIN:	316034826
Ohio License Number:
NPN:	8406521
DBA / Trade Name:
State of Domicile:	OH
County:	FRANKLIN
Business Address
Address 1:	555 OFFICENTER PLACE
Address 2:
City:	GAHANNA
State:	OH
Zip:	43230
Phone:	614-235-2395
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	PO BOX 307370
Address 2:
City:	GAHANNA
State:	OH
Zip:	43230
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
JAMES SMARELLA	AGENT	15813708	YES		06/28/2017
ALYSSA BAILEY	AGENT	18443393	YES		06/26/2017
SEAN DECELLO	AGENT	17961842	YES		07/27/2017
KATHY LINDEEN	AGENT	18515494	YES		08/24/2017
MEGHAN ALTIZER	AGENT	18588304	YES		10/30/2017
CHRIS MARTIN	AGENT	18612303	YES		11/22/2017
AMANDA HANDSHEY	AGENT	18630987	YES		12/22/2017
ERIC SCHNIPKE	AGENT	18669591	YES		01/26/2018

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)	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	CREDIT UNION

Submitted By
Submitted By:	MARIA SMITH
Title:	EXECUTIVE ASSISTANT
Phone Number:	614-729-1399
Email Address:	MSMITH@KEMBA.ORG