Notification of Changes for Business Entity
General Information  
Business Entity Name: LINCOLN FINANCIAL SECURITIES CORPORATION
Incorporation / Formation Date:  
FEIN: 02-0275490
Ohio License Number: 23872
NPN: 124422
DBA / Trade Name:  
State of Domicile: NH
County: MERRIMACK
Business Address  
Address 1: 1 GRANITE PLACE
Address 2:  
City: CONCORD
State: NH
Zip: 03301
Phone: 6032265502
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: ONE GRANITE PLACE
Address 2:  
City: CONCORD
State: NH
Zip: 03301
   
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
MAUREEN A KLOUDA AVP, DESIGNATED PRODUCER 2201604 YES   7/4/2018
JAMES A BADIAC AVP, DESIGNATED PRODUCER 9370663   YES 7/4/2018
           
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)
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: JESSICA GILES
Title: SPECIALIST, BD LEGAL SUPPORT
Phone Number: 6032265502
Email Address: CORPAGENCYLIC@LFG.COM