Notification of Changes for Business Entity
General Information
Business Entity Name:	THE REAVES AGENCY, LLC
Incorporation / Formation Date:	06/07/2013
FEIN:	462990505
Ohio License Number:	1142920
NPN:	17045838
DBA / Trade Name:
State of Domicile:	TX
County:	DALLAS
Business Address
Address 1:	851 INTERNATIONAL PKWY., STE. 120
Address 2:
City:	RICHARDSON
State:	TX
Zip:	75081
Phone:	972-669-2435
Fax:	972-235-9604
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	851 INTERNATIONAL PKWY., STE.120
Address 2:
City:	RICHARDSON
State:	TX
Zip:	75081
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:	ALONDRA ALMAGUER
Title:	ADMINISTRATIVE ASSISTANT
Phone Number:	972-669-2435 EXT. 7011
Email Address:	ALONDRA@REAVESAGENCY.COM