Notification of Changes for Business Entity
General Information  
Business Entity Name: EF LEGACY SECURITIES LLC
Incorporation / Formation Date:  
FEIN: 473919321
Ohio License Number: 1090681
NPN: 17755542
DBA / Trade Name:  
State of Domicile: VA
County: HENRICO
Business Address  
Address 1: 200 WESTGATE PKWY STE 202
Address 2:  
City: HENRICO
State: VA
Zip: 23233
Phone: 8048824132
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 200 WESTGATE PKWY 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
           
Members, Owners, Partners, Officers and Directors
Name Title Identifying # Add Delete Eff. Date
ROBERT BAIN VICE PRESIDENT, INSURANCE 567453101 YES   07/07/2018
ANDREW JAMES LEHMAN DIRECTOR 292905832   YES 07/07/2018
DAVID THOMAS SHEEHAN VICE PRESIDENT 325782134   YES 07/07/2018
EDWARD MOORE MANAGER 284565930   YES 07/07/2018
FREDRIC MARK EDELMAN OFFICER 144566840   YES 07/07/2018
WILLIAM HAYES MANAGER 114525387   YES 07/07/2018
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: CHRISTY KRICK
Title: LICENSING ADMINISTRATOR
Phone Number: 8124942472
Email Address: CKRICK@SUPPORTIVEIS.COM