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:	4175200309
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
BROWN, KENT	MSR	16747004		YES	10/24/16
BRYANT, KEVIN	MSR	17799974		YES	10/24/16
LONG, GEORGE	MSR	1774260		YES	10/24/16
RASKOVIC, DIANA	MSR	17889395		YES	10/24/16
REDDEN, BRYCE	MSR	17832544		YES	10/24/16
THOMPSON, BILLIE	MSR	17868743		YES	10/24/16
WEISS, MICAH	MSR	17752046		YES	10/24/16
WOODY, ANDREW	MSR	17889399		YES	10/24/16
HAISLIP, ERICA	MSR	17829711		YES	10/26/16
HARRIS, DARIAN N	MSR	17784961		YES	10/24/16
LOPEZ, DIONNDRA	MSR	17977580		YES	10/24/16
NELSEN, ANDREW K	MSR	17845665		YES	10/24/16
SOUDERS, SHERMAN T	MSR	5028426		YES	10/24/16
HEIKKILA, PAIGE	MSR	17533149		YES	11/11/16
WALLACE, KATELYN	MSR	17827061		YES	11/14/16

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
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