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:
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
SAMUEL GOLDENBERG	AGENT	1978855		YES	6/19/2017
DARREN T GRAY	AGENT	995904		YES	6/19/2017
TRACY MARIE HALLORAN	AGENT	2575984		YES	6/19/2017
THOMAS S HARCEG	AGENT	6218544		YES	6/19/2017
JAMES D HARRIS	AGENT	558250		YES	6/19/2017
KYLE CARR HARRIS	AGENT	8734751		YES	6/19/2017
JORDAN JOHN HAVENS	AGENT	7966411		YES	6/19/2017
BENJAMIN RYAN HAZLEBECK	AGENT	17828222		YES	6/19/2017
KATHLEEN A HILL	AGENT	790445		YES	6/19/2017
KRISTIE KOEHLER HOWE	AGENT	2424278		YES	6/19/2017
ROBERT CHARLES HUTCHINSON	AGENT	16472031		YES	6/19/2017
KRISTINA L ICKES	AGENT	9594932		YES	6/19/2017
MATTHEW T JENNINGS	AGENT	1863151		YES	6/19/2017
HERMAN WILLIAM JONAS, IV	AGENT	10453595		YES	6/19/2017
ROGER ALLEN JONES	AGENT	379748		YES	6/19/2017

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:	SHARLENE PANDOLFI
Title:	EAC COMPLIANCE OFFICER
Phone Number:	904 440 1240
Email Address:	SHARLENE_PANDOLFI@BANKOFAMERICA.COM