Notification of Changes for Business Entity
General Information
Business Entity Name:	MERRILL LYNCH LIFE AGENCY INC
Incorporation / Formation Date:
FEIN:	132808480
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	KING
Business Address
Address 1:	1215 FOURTH AVENUE
Address 2:
City:	SEATTLE
State:	WA
Zip:	98161
Phone:	8003334858
Fax:
Business Web Site Address:
Business Email Address:
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
MELLON, GRANT	FINANCIAL ADVISOR	622774	YES		03/09/2017
MORRISON, ANDREW J	FINANCIAL ADVISOR	1125584	YES		03/09/2017
MOURO, ROBERT	FINANCIAL ADVISOR	959278	YES		03/09/2017
PAKRASI, ABANTI B	FINANCIAL ADVISOR	1105126	YES		03/09/2017
PORTER, BRADFORD	FINANCIAL ADVISOR	958964	YES		03/09/2017
REICHERT, WILLIAM L	FINANCIAL ADVISOR	1040963	YES		03/09/2017
REID, ALISON G	FINANCIAL ADVISOR	27574	YES		03/09/2017
RERICHA, JASON	FINANCIAL ADVISOR	1107431	YES		03/09/2017
RICE, ROBERT	FINANCIAL ADVISOR	1051468	YES		03/09/2017
ROLLINS, CHESTER P	FINANCIAL ADVISOR	931229	YES		03/09/2017
ROSEN, LEE S	FINANCIAL ADVISOR	55199	YES		03/09/2017
RUSSELL, JON G	FINANCIAL ADVISOR	652083	YES		03/09/2017
SANDRY, WILLIAM	FINANCIAL ADVISOR	1068356	YES		03/09/2017
SANTELLO, VICKI	FINANCIAL ADVISOR	48216	YES		03/09/2017

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:	CHERI DELAPP
Title:	ASSISTANT VICE PRESIDENT
Phone Number:	904-218-4053
Email Address:	CHERI.DELAPP@BANKOFAMERICA.COM