Notification of Changes for Business Entity
General Information
Business Entity Name:	KNIGHT INSURANCE AGENCY
Incorporation / Formation Date:	1-17-1921
FEIN:	34-4267105
Ohio License Number:	1147
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	LUCAS
Business Address
Address 1:	22 NORTH ERIE STREET
Address 2:
City:	TOLEDO
State:	OH
Zip:	43604
Phone:	419-241-5133
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	22 NORTH ERIE STREET
Address 2:
City:	TOLEDO
State:	OH
Zip:	43604
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
CAROLINE J CHRISTIE	BUSINESS ACCOUNT MANAGER	2211454	YES		3-16-2016

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:	KENNETH KNIGHT
Title:	CEO
Phone Number:	419-241-5133
Email Address:	KEN@KNIGHTINSURANCE.COM