Notification of Changes for Business Entity
General Information
Business Entity Name:	MERRILL LYNCH LIFE AGENCY, INC
Incorporation / Formation Date:
FEIN:	13-2808480
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	WA
County:	KING
Business Address
Address 1:	1215 FOURTH AVE, 26TH FL
Address 2:
City:	SEATTLE
State:	WA
Zip:	98161
Phone:	800-333-4858
Fax:
Business Web Site Address:
Business Email Address:	AGENCY.LICENSING@BANKOFAMERICA.COM
Mailing Address
Address 1:	9000 SOUTHSIDE BLVD
Address 2:	BLDG 200, 4TH FL
City:	JACKSONVILLE
State:	FL
Zip:	32256
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
BARON, MARIA	AGENT	1096386		YES	6/21/2017
MEHTASHARAN, RADHIKA	AGENT	777345		YES	6/21/2017
MERCHANT, RHETT	AGENT	545458		YES	6/21/2017
REISIN, MICHAEL	AGENT	756589		YES	6/21/2017
MIKOLAJEWSKI, MATTHEW	AGENT	284790		YES	6/21/2017
MOORE, CHRISTOPHER	AGENT	75504		YES	6/21/2017
MOWER, BRETT	AGENT	673627		YES	6/21/2017
MUNCY, TODD	AGENT	1045914		YES	6/21/2017
MCNAMEE, DENNIS	AGENT	769522		YES	6/21/2017
NEARING, GORDON	AGENT	77481		YES	6/21/2017
NEVINS, MARK	AGENT	798009		YES	6/21/2017
NEWMAN, GERALD	AGENT	1101661		YES	6/21/2017
OBRIEN, JOHN	AGENT	678390		YES	6/21/2017
OCONNELL, GERARD	AGENT	779964		YES	6/21/2017
ORNER, LAURIE	AGENT	781086		YES	6/21/2017

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:	SHARLENE PANDOLFI
Title:	EAC COMPLIANCE OFFICER
Phone Number:	904 440 1240
Email Address:	SHARLENE_PANDOLFI@BANKOFAMERICA.COM