Notification of Changes for Business Entity
General Information
Business Entity Name:	TRANSAMERICA RETIREMENT INSURANCE AGENCY INC
Incorporation / Formation Date:
FEIN:	462720367
Ohio License Number:	998053
NPN:	17010705
DBA / Trade Name:
State of Domicile:	OH
County:	NEW CASTLE
Business Address
Address 1:	1209 ORANGE STREET
Address 2:
City:	WILMINGTON
State:	DE
Zip:	19801
Phone:	6512864700
Fax:	808038884
Business Web Site Address:
Business Email Address:	LICENSINGANDCOMMISSIONS@TRANSAMERICA.COM
Mailing Address
Address 1:	408 ST PETER STREET
Address 2:	SUITE 230
City:	ST PAUL
State:	MN
Zip:	55102
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
BAILEY, MICHAEL J	PRODUCER	6954950	YES		02/11/2016
BLAINE, BYRON L	PRODUCER	8190876	YES		02/11/2016
BRUCE, JEFFREY J	PRODUCER	6966901	YES		02/23/2016
CLANTON, BRITT E	PRODUCER	8224402	YES		02/22/2016
EL GAMAL, GHADA M	PRODUCER	7535175	YES		02/11/2016
FOWLER, ERIC C	PRODUCER	10426428	YES		02/23/2016
HOWE, BENJAMIN	PRODUCER	17368105	YES		02/22/2016
KASE, JEFFREY B	PRODUCER	10403111	YES		02/11/2016
KILIAN, ANDREW J	PRODUCER	17364410	YES		02/11/2016
LEWIS, MICHAEL D	PRODUCER	8669502	YES		02/24/2016
LYMANGOOD, CHARLES W	PRODUCER	10316571	YES		02/19/2016
MARTZ, CRAIG A	PRODUCER	3527562	YES		02/26/2016
OLSON, GILDA L	PRODUCER	265635	YES		02/16/2016
POPE, DAVID A	PRODUCER	16500410	YES		02/24/2016
POPE, LAURA T	PRODUCER	3953416	YES		02/11/2016

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)
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:	YOLANDA GARCIA
Title:	MANAGER
Phone Number:	2137422252
Email Address:	YOLANDA.GARCIA@TRANSAMERICA.COM