Notification of Changes for Business Entity
General Information
Business Entity Name:	SEARCY INSURANCE AGENCY, LLC
Incorporation / Formation Date:	09/12/2013
FEIN:	463650028
Ohio License Number:	1007413
NPN:	17064461
DBA / Trade Name:	SB INSURANCE MARKETING II
State of Domicile:	DE
County:	NEW CASTLE
Business Address
Address 1:	C/O PARKOWSKI, GUERKE & SWAYZE, P.A.
Address 2:	116 W. WATER STREET
City:	DOVER
State:	DE
Zip:	19904
Phone:	317-574-6257
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	401 PENNSYLVANIA PKWY, SUITE 300
Address 2:	ATTN: COMPLIANCE DEPT
City:	INDIANAPOLIS
State:	IN
Zip:	46280
Indicate the type of change you are seeking
Address Change:	YES
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:	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:	STEPHEN M. COONS
Title:	ASSISTANT SECRETARY
Phone Number:	3175746257
Email Address:	SBINSURANCEMARKETINGII@GUGGENHEIMINSURANCE.COM