Notification of Changes for Business Entity
General Information
Business Entity Name:	VENTURE PROGRAMS INC
Incorporation / Formation Date:	10/30/1996
FEIN:	232865905
Ohio License Number:	24816
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	USA
Business Address
Address 1:	1301 WRIGHTS LANE EAST
Address 2:
City:	WEST CHESTER
State:	PA
Zip:	19380
Phone:	6106929701
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	BLINSURANCE@CSCGLOBAL.COM
Address 2:
City:	WEST CHESTER
State:	OH
Zip:	19380
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
PHILIP J HARVEY, JR	EXECUTIVE VICE PRESIDENT	7701670	YES		06/25/2018

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:	MICHAEL NELSON
Title:	SERVICE ASSOCIATE
Phone Number:	800-927-9801
Email Address:	BLINSURANCE@CSCGLOBAL.COM