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
MAYO, MATTHEW MSR 18197137 YES   12/19/2016
PEARCE, JUSTIN MSR 18197000 YES   12/19/2016
PORTERFIELD, SHELBY MSR 18197188 YES   12/19/2016
REECE, AUSTIN MSR 18197191 YES   12/19/2016
WEST, DEIRDRE MSR 7535598 YES   12/19/2016
WILLIAMS, JOSEPH MSR 18197212 YES   12/19/2016
WRIGHT, BRANDON MSR 18197234 YES   12/19/2016
ALDEN, TIFFIANY MSR 18209508 YES   12/26/2016
ARIOLA, VILMA MSR 18209528 YES   12/26/2016
BEDSAUL, KAREN MSR 7911155 YES   12/26/2016
BENZ, LAURA MSR 938169 YES   12/26/2016
CHAMPLIN, LEONARD MSR 18212659 YES   12/26/2016
DISCHNER, KASSANDRA MSR 18208314 YES   12/26/2016
FLORES, PAUL MSR 18209530 YES   12/26/2016
GILMARTIN, CHRISTOPHER MSR 18208350 YES   12/26/2016
           
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: STEPHEN L MILLER
Title: DIRECTOR
Phone Number: 417-520-1775
Email Address: STEPHENMILLER@TELETECH.COM