Notification of Changes for Business Entity
General Information
Business Entity Name:	CETERA ADVISOR NETWORKS
Incorporation / Formation Date:
FEIN:	42414
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	MN
County:	STEARNS
Business Address
Address 1:	200 N SEPULVEDA BLVD STE 1200
Address 2:
City:	EL SEGUNDO
State:	CA
Zip:	90245
Phone:	866-489-3100
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	400 1ST STREET SOUTH SUITE 300
Address 2:
City:	ST CLOUD
State:	MN
Zip:	56301
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
MARTIN KELMER	REGISTERED REPRESENTATIVE	18297		YES	07/22/2016

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:	WENDY GOENNER
Title:	REGISTRATION COORDINATOR
Phone Number:	8664893100
Email Address:	REGISTRATION@CETERA.COM