Notification of Changes for Business Entity
General Information
Business Entity Name:	INSURANCE ANSWER CENTER LLC
Incorporation / Formation Date:
FEIN:	261971917
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	CA
County:	LOS ANGELES
Business Address
Address 1:	15910 VENTURA BLVD FL 6
Address 2:
City:	ENCINO
State:	CA
Zip:	91436
Phone:	865-226-1060
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	PO BOX 261220
Address 2:
City:	ENCINO
State:	CA
Zip:	91426
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
CONLEY, MICA	PRODUCER	1116612	YES		12/14/2017
CORBIN, TANDY	PRODUCER	1169243	YES		12/14/2017
CUCURULLO, THOMAS	PRODUCER	1126772	YES		12/14/2017
DECKER, TAMMY	PRODUCER	1115642	YES		12/14/2017
DELANEY, JAMES	PRODUCER	1136301	YES		12/14/2017
DUNN, SHAUN	PRODUCER	1170733	YES		12/14/2017
EVANS, MELISSA	PRODUCER	1129257	YES		12/14/2017
FELICIANO, JOSHUA	PRODUCER	1126537	YES		12/14/2017
FERRER, CARLOS	PRODUCER	1142013	YES		12/14/2017
FOLEY, MARISSA	PRODUCER	1126398	YES		12/14/2017
GARCIA, LIGIA	PRODUCER	1170192	YES		12/14/2017
GOICOECHEA, JOSE	PRODUCER	1083038	YES		12/14/2017
GOSSER, JOHN	PRODUCER	1170842	YES		12/14/2017
GRAHAM, WENDELL	PRODUCER	1124650	YES		12/14/2017
GRANT, AUTUMN	PRODUCER	1134690	YES		12/14/2017

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)	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:	BRENDA HARBIN
Title:	LICENSE MANAGER
Phone Number:	865-226-1060
Email Address:	TEAMLICENSING@ANSWERFINANCIAL.COM