Notification of Changes for Business Entity
General Information
Business Entity Name:	W & S FINANCIAL GROUP DISTRIBUTORS INC
Incorporation / Formation Date:
FEIN:	31-1334221
Ohio License Number:	4833
NPN:	660004
DBA / Trade Name:
State of Domicile:	OH
County:	HAMILTON
Business Address
Address 1:	303 BROADWAY STE 1100
Address 2:
City:	CINCINNATI
State:	OH
Zip:	45202
Phone:	513-362-8258
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	303 BROADWAY STE 1100
Address 2:
City:	CINCINNATI
State:	OH
Zip:	45202
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

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
PATRICIA J. WILSON	OFFICER	197-48-9870	YES		08/31/2016
RHONDA S. MALONE	SECRETARY	402-08-6426	YES		08/31/2016
JAY V JOHNSON	AVP, ASST TREAS.	316-02-5158	YES		08/31/2016
JOHN S MUSGROVE	AVP, ASST TREAS.	299-68-9389	YES		08/31/2016
CHERYL J. STOTTS	AVP, ASST TREAS.	404-88-4529	YES		08/31/2016
KATHLEEN A. CORNELIUS	ASST TRES.	295-62-8578	YES		08/31/2016

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:	SARAH JO PLUCKER-WRIGHT
Title:	PROJECT SPECIALIST
Phone Number:	513-362-8258
Email Address:	APPOINTMENTRENEWALS@WSLIFE.COM