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
BEGNAUD, GARY AGENT 381299   YES 03/02/2017
COHEN, GARY AGENT 1019941   YES 03/02/2017
REID, ALISON AGENT 633485   YES 03/02/2017
BOGGS, MARCUS AGENT 8846504   YES 03/02/2017
TRUITT, SCOTT AGENT 448402   YES 03/02/2017
LONG, MICHAEL AGENT 461102   YES 03/02/2017
GOOD, WILLIAM AGENT 739557   YES 03/02/2017
GARDNER, CHRISTOPHER AGENT 16446474   YES 03/02/2017
HEGER, ERICH AGENT 15714247   YES 03/02/2017
EDMONDS, JOHN AGENT 9747201   YES 03/02/2017
BROWN, JUSTIN AGENT 15791530   YES 03/02/2017
ANDERSON, MARK AGENT 11582253   YES 03/02/2017
STEINER, SHARON AGENT 2043357   YES 03/02/2017
ROUNTREE, DEVIN AGENT 11891856   YES 03/02/2017
MURRAY, PAUL AGENT 2166620   YES 03/02/2017
           
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: COMPLIANCE ANALYST
Phone Number: 904-440-1240
Email Address: SHARLENE_PANDOLFI@BANKOFAMERICA.COM