Notification of Changes for Business Entity
General Information
Business Entity Name:	INVEST FINANCIAL CORP INSURANCE AGENCY INC OF IL
Incorporation / Formation Date:
FEIN:	363325488
Ohio License Number:	35557
NPN:
DBA / Trade Name:
State of Domicile:	FL
County:	HILLSBOROUGH
Business Address
Address 1:	12750 CITRUS PARK LN STE 300
Address 2:
City:	TAMPA
State:	FL
Zip:	33625
Phone:	8002424732
Fax:
Business Web Site Address:
Business Email Address:	REGISTRATION@INVESTFINANCIAL.COM
Mailing Address
Address 1:	12750 CITRUS PARK LN STE 300
Address 2:
City:	TAMPA
State:	FL
Zip:	33625
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
CHARLES FITZPATRICK	AGENT	1454932		YES	12/01/2017
DANIEL FELLERS	AGENT	2828825		YES	12/01/2017
GARY EVERTS	AGENT	2012105		YES	12/01/2017
KATHLEEN INDIANO	AGENT	7279967		YES	12/01/2017
KEVIN BARDOL	AGENT	1706151		YES	12/01/2017
KYLE MERK	AGENT	8594023		YES	12/01/2017
MATTHEW NORDMANN	AGENT	994256		YES	12/01/2017
MICHAEL MOSS	AGENT	1865641		YES	12/01/2017
MICHAEL BRUNO	AGENT	333605		YES	12/01/2017
MICHELLE BENDER	AGENT	6836387		YES	12/01/2017
ROBERT PETERSON	AGENT	412300		YES	12/01/2017
RONALD DAUSON	AGENT	1715585		YES	12/01/2017
SCOTT MORRISON	AGENT	994588		YES	12/01/2017
STEVEN YEH	AGENT	3289703		YES	12/01/2017
WILLIAM LOGUE	AGENT	1998286		YES	12/01/2017

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:	LORI LAPOLE
Title:	LICENSING
Phone Number:	8138805325
Email Address:	REGISTRATION@INVESTFINANCIAL.COM