Notification of Changes for Business Entity
General Information  
Business Entity Name: MCGRIFF INSURANCE SERVICES, INC.
Incorporation / Formation Date: 09/01/1988
FEIN: 561623293
Ohio License Number: 24434 AND 1152315
NPN: 2227522
DBA / Trade Name:  
State of Domicile: NC
County: WAKE
Business Address  
Address 1: 3605 GLENWOOD AVE
Address 2:  
City: RALEIGH
State: NC
Zip: 27612
Phone: 321-421-6713
Fax:  
Business Web Site Address:  
Business Email Address: ZEBBIE.RICHARDS@BBANDT.COM
Mailing Address  
Address 1: 3605 GLENWOOD AVE
Address 2:  
City: RALEIGH
State: NC
Zip: 27612
   
Indicate the type of change you are seeking
Address Change: NO
Business Entity Name Change: YES Old Business Entity Name: BB&T INSURANCE SERVICES, INC.
New DBA/Trade Name: YES New DBA/Trade Name: BB&T INSURANCE SERVICES, INC.
Amend DBA/Trade Name: NO Old DBA/Trade Name:  
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors: NO
   
Licensed Producers
Name Title NPN Add Delete Eff. Date
           
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: ZEBBIE RICHARDS
Title: INSURANCE OFFICER
Phone Number: 321-421-6713
Email Address: ZEBBIE.RICHARDS@BBANDT.COM