Notification of Changes for Business Entity
General Information  
Business Entity Name: TELETECH FINANCIAL SERVICES MANAGEMENT, LLC
Incorporation / Formation Date:  
FEIN: 91-2089159
Ohio License Number:
NPN:
DBA / Trade Name:  
State of Domicile: CO
County: ARAPAHOE
Business Address  
Address 1: 1209 ORANGE ST
Address 2:  
City: WILMINGTON
State: DE
Zip: 19801
Phone: 4175201775
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 9197 S PEORIA
Address 2:  
City: ENGLEWOOD
State: CO
Zip: 80112
   
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
CURTRIGHT, JUSTIN JOHIAH MSR 17870152   YES 01/27/2017
GARDNER, BROOKE DEVON MSR 17476606   YES 01/25/2017
BENNETT, CODY MSR 17789561   YES 01/13/2017
GHOLSON, JOSHUA P MSR 17804911   YES 01/27/2017
LAMPE, HALEY MSR 17813557   YES 01/18/2017
WILLIAMS, NICHOLE M MSR 17815425   YES 01/20/2017
BEOUGHER, HEATHER MSR 17848332   YES 01/29/2017
RAMIREZ-MOREHEAD, ABIGAIL MSR 17877063   YES 01/10/2017
BAILEY, STEPHANIE LEIGH MSR 17878466   YES 01/10/2017
NIELSEN, RYAN MSR 17975749   YES 01/17/2017
SMITHEY, BRANDI MSR 17975751   YES 02/01/2017
GIDEON, LINSAY T MSR 18101022   YES 01/30/2017
MARTIN, QUINTON MCGREGOR MSR 18131546   YES 01/20/2017
SOELBERG, PAMELA MSR 18225819   YES 01/30/2017
           
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: STEPHEN L MILLER
Title: DIRECTOR
Phone Number: 417-520-1775
Email Address: STEPHENMILLER@TELETECH.COM