Notification of Changes for Business Entity
General Information  
Business Entity Name: GRADIENT SECURITIES LLC
Incorporation / Formation Date:  
FEIN: 26-4463739
Ohio License Number: 39880
NPN: 14291411
DBA / Trade Name:  
State of Domicile: MN
County: RAMSEY
Business Address  
Address 1: 4105 LEXINGTON AVENUE SUITE 380
Address 2:  
City: ARDEN HILLS
State: MN
Zip: 55126
Phone: 866-991-1539
Fax:  
Business Web Site Address:  
Business Email Address: KSIEPMANN@GRADIENTSECURITIES.COM
Mailing Address  
Address 1: 4105 LEXINGTON AVENUE SUITE 380
Address 2:  
City: ARDEN HILLS
State: MN
Zip: 55126
   
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
CHARLES LEFLAR RDA 9051694 YES   09/27/2017
JEFFREY FOLEY RDA 3399013   YES 09/27/2017
           
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: APRIL EATON
Title: LICENSING ADMINISTRATOR
Phone Number: 812-886-0191
Email Address: ADEATON@SUPPORTIVEIS.COM