Notification of Changes for Business Entity
General Information
Business Entity Name:	EFINANCIAL LLC
Incorporation / Formation Date:
FEIN:	912134962
Ohio License Number:	36879
NPN:	7149626
DBA / Trade Name:
State of Domicile:	WA
County:	KING
Business Address
Address 1:	13810 SE EASTGATE WAY
Address 2:	SUITE 300
City:	BELLEVUE
State:	WA
Zip:	98005
Phone:	4252161240
Fax:	425211248
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	13810 SE EASTGATE WAY
Address 2:	SUITE 300
City:	BELLEVUE
State:	WA
Zip:	98005
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
MICHAEL TREAT	AGENT	17649764	YES		01/15/2016
TOM GOSCIK	AGENT	17753460	YES		01/15/2016
PATRICK LAHLUM	AGENT	17810194	YES		01/15/2016
PHILLIP DAVIS	AGENT	14341851	YES		01/15/2016
BRIAN WINKLER	AGENT	16845725	YES		01/15/2016
MELANIE DEININGER	AGENT	17803773	YES		01/15/2016
NICHOLAS PINORINI	AGENT	17774662	YES		01/15/2016
ALLEE MCCOY	AGENT	17774666	YES		01/15/2016
AMANDA NEWTON	AGENT	17772655	YES		01/15/2016
AIMEE WARD	AGENT	17558701	YES		01/15/2016
LESLIANN MEADOWS	AGENT	17722214	YES		01/15/2016
JOHN PEARSON	AGENT	17084678	YES		01/15/2016
MTUME SCOTT	AGENT	17713806	YES		01/15/2016
KELSEY JONES	AGENT	17713803	YES		01/15/2016
FRANK HERNANDEZ	AGENT	17697962	YES		01/15/2016

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)	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:	MICHAEL ROWELL
Title:	CEO
Phone Number:	4252161240
Email Address:	LICENSING@EFINANCIAL.NET