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:
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
SCOTT DALE JONES	AGENT	2231456		YES	6/19/2017
SCOTT D JONES	AGENT	1481178		YES	6/19/2017
DAVID R KELLY	AGENT	953213		YES	6/19/2017
JOSEPH KETTELLE	AGENT	400587		YES	6/19/2017
JAMES R KIRCHNER	AGENT	769615		YES	6/19/2017
NORA JANETTE KOLAR	AGENT	3327813		YES	6/19/2017
MICHAEL JACK KOVSKY	AGENT	1436260		YES	6/19/2017
JACK RICHARD KRAPF	AGENT	2115133		YES	6/19/2017
ALBERT J KRAUZA, JR.	AGENT	9000455		YES	6/19/2017
CAROLE DOROTHY KULHAVI	AGENT	973017		YES	6/19/2017
JOHN SPENCER LACY	AGENT	565681		YES	6/19/2017
MICHAEL T LANGLOIS	AGENT	8352183		YES	6/19/2017
LISA JEANNE LASTRAPES	AGENT	717628		YES	6/19/2017
MICHELLE L LAUDER	AGENT	12128940		YES	6/19/2017
ERIC E LAWTON	AGENT	1510658		YES	6/19/2017

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