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:  
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
GIRDLER, WILLIAM MSR 17804909   YES 04/04/2017
MORRISON, SAMUEL MSR 18015667   YES 04/06/2017
WEST, DEIRDRE MSR 7535598   YES 04/06/2017
WHEATON, CHARLES MSR 17761572   YES 03/29/2017
ZITTLE, JASON MSR 17316729   YES 04/12/2017
           
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: STEPHEN L MILLER
Title: DIRECTOR
Phone Number: 4175201775
Email Address: STEPHENMILLER@TELETECH.COM