Notification of Changes for Business Entity
General Information
Business Entity Name:	MCGRIFF, SEIBELS & WILLIAMS, INC.
Incorporation / Formation Date:
FEIN:	20-0468966
Ohio License Number:	33214
NPN:	7993792
DBA / Trade Name:
State of Domicile:	AL
County:	JEFFERSON
Business Address
Address 1:	2211 7TH AVE SOUTH
Address 2:
City:	BIRMINGHAM
State:	AL
Zip:	35233
Phone:	205-252-9871
Fax:	205-581-9404
Business Web Site Address:
Business Email Address:	JIJOHNSON@MCGRIFF.COM
Mailing Address
Address 1:	2211 7TH AVE SOUTH
Address 2:
City:	BIRMINGHAM
State:	AL
Zip:	35233
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
LINDA STOREY	PRODUCER	950963	YES		01/24/2018
TIMOTHY SUDDUTH	PRODUCER	15956933	YES		01/24/2018
JOHN TANNER	PRODUCER	12919567	YES		01/24/2018
EDDIE TARTER	PRODUCER	5847165	YES		01/24/2018
JOSEPH W TASKER, III	PRODUCER	7237472	YES		01/24/2018
JOSHUA TAYLOR	PRODUCER	11548397	YES		01/24/2018
KAREN TERRELL	PRODUCER	5822860	YES		01/24/2018
MELANIE TERRELL	PRODUCER	5839488	YES		01/24/2018
JEFFRY THRELKELD	PRODUCER	5795970	YES		01/24/2018
BRIAN TREDDIEN	PRODUCER	16940411	YES		01/24/2018
RYAN VARELA	PRODUCER	18123772	YES		01/24/2018
ROBERT WAGGONER	PRODUCER	7632657	YES		01/24/2018
ERIK WARGO	PRODUCER	7324539	YES		01/24/2018
DONNA CAROL WEAVER	PRODUCER	1306984	YES		01/24/2018
WILLIAM EARL WEBB, JR.	PRODUCER	5818952	YES		01/24/2018

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:	JILLIAN JOHNSON
Title:	LICENSING COORDINATOR
Phone Number:	205-581-9422
Email Address:	JIJOHNSON@MCGRIFF.COM