Notification of Changes for Business Entity
General Information
Business Entity Name:	THRIVENT INSURANCE AGENCY INC
Incorporation / Formation Date:
FEIN:	41-1780150
Ohio License Number:	26090
NPN:	662734
DBA / Trade Name:
State of Domicile:	MN
County:	HENNEPIN
Business Address
Address 1:	625 FOURTH AVE S
Address 2:
City:	MINNEAPOLIS
State:	MN
Zip:	55415
Phone:	9206285808
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	625 FOURTH AVE S
Address 2:
City:	MINNEAPOLIS
State:	MN
Zip:	55415
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
KEITH BERG	AGENT	6966261	YES		07/21/2018
CHAD TROESTER	AGENT	2509730	YES		07/21/2018
LUKE SCHNEIDER	AGENT	2897190	YES		07/21/2018
CHRISTINE SCHILLING	AGENT	1914162	YES		07/21/2018
BENJAMIN LAWS	AGENT	7708910	YES		07/21/2018
DOREE COOK	AGENT	17753918	YES		07/21/2018
RYAN SPLEET	AGENT	11580192	YES		07/27/2018
MARK KINGSBERY	AGENT	8750150	YES		07/27/2018
BROOKS GERKE	AGENT	18812798	YES		07/30/2018
JAMES THAYER	AGENT	10632800	YES		07/30/2018
ERIC HIMMEL	AGENT	16662593	YES		07/30/2018
GEORGE ANDREWS	AGENT	7979575	YES		08/13/2018
CRAIG NENNIG	AGENT	18406485	YES		08/17/2018
DANIEL L JOHNSON	AGENT	18375045	YES		08/17/2018
ANTHONY GINGERICH	AGENT	18402593	YES		08/17/2018

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:	RACHAEL STURM
Title:	SPECIALIST
Phone Number:	9206285808
Email Address:	RACHAEL.STURM@THRIVENT.COM