Notification of Changes for Business Entity
General Information
Business Entity Name:	WORLD FINANCIAL GROUP INSURANCE AGENCY, INC.
Incorporation / Formation Date:
FEIN:	95-3809372
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	CA
County:	ORANGE
Business Address
Address 1:	145 S. STATE COLLEGE
Address 2:	SUITE 115-G
City:	BREA
State:	CA
Zip:	92821
Phone:	770-453-9300
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	11315 JOHNS CREEK PARKWAY
Address 2:
City:	DULUTH
State:	GA
Zip:	30097
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
FENG XU 08DFI	AGENT	10354730	YES		11/4/15
JEFFREY G. MILES 17ZEA	AGENT	2810848	YES		11/4/15
ARJUN GHIMIRE 29LOT	AGENT	17767439	YES		11/4/15
FENG HE 32ZDJ	AGENT	17633471	YES		11/4/15
JUDITH G. APPLESTEIN 34TLI	AGENT	429302	YES		11/4/15
DEBRA ELIOT 36MIM	AGENT	17193364	YES		11/4/15
NANCY M PYON 39KAD	AGENT	7368269	YES		11/4/15
TUK RAI 40WBA	AGENT	17765123	YES		11/4/15
LYNNEIA R. PERKINS 42ACC	AGENT	16688470	YES		11/4/15

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:	STEPHANIE HOISER 11/4/15
Title:	ASSISTANT SECRETARY
Phone Number:	770-453-9300
Email Address:	DANIELLE.SIMS@TRANSAMERICA.COM