Notification of Changes for Business Entity
General Information
Business Entity Name:	TRIMMER INS AGENCY LLC
Incorporation / Formation Date:	01/04/2006
FEIN:	20-3998946
Ohio License Number:	33851
NPN:	8684820
DBA / Trade Name:
State of Domicile:	OH
County:	FAIRFIELD
Business Address
Address 1:	400 N. MEMORIAL DRIVE
Address 2:
City:	LANCASTER
State:	OH
Zip:	43130
Phone:	740-654-0532
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1200 GRAHAM ROAD
Address 2:
City:	CUYAHOGA FALLS
State:	OH
Zip:	44224
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
RICH STUDENIC	AGENT	3241785	YES		08/30/2017
ALY LARSON	AGENT	2776451	YES		08/30/2017
DENISE ARISON	AGENT	2775699	YES		08/30/2017
MARIA NORMAN	AGENT	1763252	YES		08/30/2017
PATRICIA MCPHILLIAMY	AGENT	2557458	YES		08/30/2017
MARY RITA SCHAUER	AGENT	2776079	YES		08/30/2017
ALICIA JOLLY	AGENT	6082532	YES		08/30/2017
WILLIAM TRACEY COMBS	AGENT	16905358	YES		08/30/2017
SABRINA GINGRICH	AGENT	7974368	YES		08/30/2017
MARY MACKEY	AGENT	7864923	YES		08/30/2017
JULIE ALLEN	EMPLOYEE	16969488	YES		08/30/2017
JENNIFER KLINE	AGENT	1083605	YES		08/30/2017
ERIC PEMPUS	AGENT	8643649	YES		08/30/2017
KAREN GARRISON	AGENT	4019096	YES		08/30/2017
CRYSTAL THOMPSON	AGENT	18493557	YES		08/30/2017

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
JANIE GEIS	OFFICER	8208998	YES		08/30/2017
LAUREN MILLER	OFFICER	654684	YES		08/30/2017

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:	MARY MACKEY
Title:	ACCOUNTING MANAGER
Phone Number:	330-920-8629
Email Address:	MARY@WICHERT.COM