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:	BLDG 200, 4TH FL
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
HEATHER WEBER	AGENT	1432212		YES	10/10/16
TINA M MIGGE	AGENT	17204021		YES	10/10/16
ANDRES F CASTANO	AGENT	8831161		YES	10/10/16
ERIC LALIME	AGENT	9610156		YES	10/10/16
ROY F ALLAN	AGENT	627552		YES	10/10/16
SHARON OBERLANDER	EMPLOYEE	373416		YES	10/10/16
THADDEUS BIENKO	AGENT	7840030		YES	10/10/16
DAVID VICTOR SWEIGART	AGENT	2180608		YES	10/10/16
ERIN WESTPHAL	AGENT	5776882		YES	10/10/16
NICHOLAS WILLIAM GREINER	AGENT	16773703		YES	10/10/16
HARRY LEON WALLACE	AGENT	16615036		YES	10/10/16
KIERAN MCMANUS	AGENT	2080589		YES	10/10/16
VAN MORRIS	AGENT	17993367		YES	10/10/16
JEFFREY TONG	AGENT	16589635		YES	10/10/16
WILLIAM REICHERT	AGENT	1843991		YES	10/10/16

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:	ROBERT MAYNOR
Title:	COMPLIANCE ANALYST
Phone Number:	904-218-9511
Email Address:	ROBERT.MAYNOR@BANKOFAMERICA.COM