Notification of Changes for Business Entity
General Information  
Business Entity Name: NYLIFE SECURITIES LLC
Incorporation / Formation Date:  
FEIN: 270145686
Ohio License Number:
NPN:
DBA / Trade Name:  
State of Domicile: OH
County: USA
Business Address  
Address 1: 51 MADISON AVENUE
Address 2:  
City: NEW YORK
State: NY
Zip: 10010
Phone: 212-576-5095
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 51 MADISON AVENUE
Address 2:  
City: NEW YORK
State: NY
Zip: 10010
   
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
CELESTINA L DADZIE AGENT 0000434903   YES 10/31/2015
RITA DATTA AGENT 0001684396   YES 10/10/2015
LARRY EDWIN BOTTS AGENT 0000549246   YES 10/10/2015
YI-CHENG CHANG AGENT 0000259050   YES 10/10/2015
PETER CHLETCOS AGENT 0001971430   YES 10/10/2015
NA HERTWIG AGENT 0001645384   YES 10/10/2015
JENNY KHO AGENT 0000374258   YES 10/10/2015
NA HERTWIG AGENT 0001645384   YES 10/10/2015
DEBORAH LEWIS AGENT 0003013265   YES 10/10/2015
GAIL M SCHANK AGENT 0001450634   YES 10/10/2015
           
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: ADELE SCIBERRAS
Title: SENIOR SPECIALIST
Phone Number: 212-576-5095
Email Address: ADELE_G_SCIBERRAS@NEWYORKLIFE.COM