Notification of Changes for Business Entity
General Information
Business Entity Name:	MARSH USA INC.
Incorporation / Formation Date:
FEIN:	361436000
Ohio License Number:
NPN:	27658
DBA / Trade Name:
State of Domicile:	NY
County:	NEW YORK
Business Address
Address 1:	1166 AVENUE OF THE AMERICAS
Address 2:
City:	NEW YORK
State:	NY
Zip:	10036
Phone:	2123459680
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1166 AVENUE OF THE AMERICAS
Address 2:
City:	NEW YORK
State:	NY
Zip:	10036
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
SARAH RIBBENS	SR. VICE PRESIDENT	1079474	YES		11/01/2015

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)	NO
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?	NO
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:	LATANYA GOODWIN
Title:	LICENSING SPECIALIST
Phone Number:	2169371421
Email Address:	LATANYA.GOODWIN@MARSH.COM