Notification of Changes for Business Entity
General Information
Business Entity Name:	WELLS FARGO ADVISORS INSURANCE AGENCY LLC.
Incorporation / Formation Date:
FEIN:	540910269
Ohio License Number:	28429
NPN:	776016
DBA / Trade Name:
State of Domicile:	VA
County:	INDEPENDENT CITY
Business Address
Address 1:	901 E BYRD ST.
Address 2:
City:	RICHMOND
State:	VA
Zip:	23219
Phone:	6057825112
Fax:	844-879-0217
Business Web Site Address:	WWW.WELLSFARGO.COM
Business Email Address:	AGENCYLICENSING@WELLSFARGO.COM
Mailing Address
Address 1:	3201 N 4TH AVE
Address 2:
City:	SIOUX FALLS
State:	SD
Zip:	57104
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
KRAFT, RALIEGH	AGENT	2976984		YES	01/10/2017
MARK COMPSTON	AGENT	16021298		YES	01/11/2017
THOMAS S WILSON	AGENT	1780368		YES	01/12/2017
GAY, BRANDON KEITH	AGENT	16140017		YES	01/12/2017
OLDHAM, BRITTANY	AGENT	165896			01/09/2017
EDWARDS, TRISTA	AGENT	16818778		YES	01/12/2017
STINNETT, ANJA	AGENT	17411350		YES	01/12/2017
GUINEY, LIAM B	AGENT	1946148		YES	01/12/2017
VAPHIDES, VALERIE SUE	AGENT	7478936		YES	01/13/2017
DEIMLING, DREW G	AGENT	753631		YES	01/11/2017
RODGERS, ELIZABETH	AGENT	7757413		YES	01/12/2017
PYLES, SUSAN	AGENT	9892607		YES	01/12/2017
FOX, PAMELA	AGENT	17254894		YES	01/11/2017
SCHMIDT, SAMANTHA	AGENT	17153582		YES	01/10/2017

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)	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:	MELISSA SHUTT
Title:	SOSS2
Phone Number:	6057825112
Email Address:	MELISSA.L.SHUTT@WELLSFARGO.COM