Notification of Changes for Business Entity
General Information
Business Entity Name:	EF LEGACY SECURITIES
Incorporation / Formation Date:
FEIN:	47-3919321
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	VA
County:	HENRICO
Business Address
Address 1:	200 WESTGATE PARKWAY STE 202
Address 2:
City:	HENRICO
State:	VA
Zip:	23233
Phone:	804-882-4132
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	200 WESTGATE PARKWAY STE 202
Address 2:
City:	HENRICO
State:	VA
Zip:	23233
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
JEREMY ALBRECHT	FINANCIAL PLANNER	7885826	YES		05/4/2016
ROBERT BAIN	INSURANCE MANAGER	7871614	YES		05/4/2016
MARIA BARON	FINANCIAL PLANNER	8219729	YES		05/4/2016
MATTHEW BONITO	FINANCIAL PLANNER	7137855	YES		05/4/2016
LINDA CAMPBELL	FINANCIAL PLANNER	1861907	YES		05/4/2016
JANEEN CAPRIOTTI	CLIENT SERVICES ASSOC.	8282827	YES		05/4/2016
LORAN COFFMAN	FINANCIAL PLANNER	988845	YES		05/4/2016
CHRISTOPHER DAVIDSON	FINANCIAL PLANNER	8913811	YES		05/4/2016
JOHN MILTON	FINANCIAL PLANNER	752759	YES		05/4/2016
LAUREL HOSTETLER	CLIENT SERVICES ASSOC.	8296096	YES		05/4/2016
MARIE JOHNSON	INSURANCE ANALYST	713675	YES		05/4/2016
ERIC LASSO	FINANCIAL PLANNER	2841775	YES		05/4/2016

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:	KARI SMITH
Title:	LICENSING ADMINISTRATOR
Phone Number:	812-886-0191
Email Address:	KNSMITH@SUPPORTIVEIS.COM