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:  
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
GUERGUERIAN, DICKRAN AGENT 18025250   YES 6/22/2017
PENDERGRAFT, CHARLES AGENT 6554119   YES 6/22/2017
PRICE, THOMAS AGENT 1832959   YES 6/22/2017
RAMIREZ, SAMUEL AGENT 16907615   YES 6/22/2017
RAO, NIHAAL AGENT 1506330   YES 6/22/2017
REYNO, JOHN AGENT 1012206   YES 6/22/2017
RICHARDS, CARA AGENT 8755283   YES 6/22/2017
RIZZO, MATTHEW AGENT 8990812   YES 6/22/2017
ROCHON, JOSHUA AGENT 8741883   YES 6/22/2017
ROMERO, JESUS AGENT 492925   YES 6/22/2017
ROONEY, JAMES AGENT 477055   YES 6/22/2017
ROSENTHAL, ROBERT AGENT 750732   YES 6/22/2017
RUCKNO, DAVID AGENT 2895480   YES 6/22/2017
SOLOMON, HOWARD AGENT 807892   YES 6/22/2017
SALTERS, BRIAN AGENT 16516872   YES 6/22/2017
           
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: EAC COMPLIANCE OFFICER
Phone Number: 904 440 1240
Email Address: SHARLENE_PANDOLFI@BANKOFAMERICA.COM