Notification of Changes for Business Entity
General Information
Business Entity Name:	MML INSURANCE AGENCY, LLC
Incorporation / Formation Date:
FEIN:	04-3109325
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	MA
County:	HAMDEN
Business Address
Address 1:	1295 STATE STREET
Address 2:
City:	SPRINGFIELD
State:	MA
Zip:	01111
Phone:	800-767-1000
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1295 STATE STREET
Address 2:
City:	SPRINGFIELD
State:	MA
Zip:	01111
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
MARCO GIGLIO	PRODUCER	14123974	YES		7/10/2017
PHILLIP RILEY	PRODUCER	2496974	YES		7/10/2017
RACHEL ETTERS	PRODUCER	17955735	YES		7/10/2017
BRANDON LEVITHAN	PRODUCER	17229951	YES		7/10/2017
JASON GOLDSTEIN	PRODUCER	15842652	YES		7/10/2017
GEORGEMICHAEL PASSAS	PRODUCER	17961690	YES		7/10/2017
EMILY GARRETT	PRODUCER	18328517	YES		7/10/2017
ARMANDO TOSKA	PRODUCER	17954303	YES		7/10/2017
MATTHEW RICKE	PRODUCER	8312980	YES		7/10/2017
RUSSELL JACOBS	PRODUCER	648361	YES		7/10/2017
CARL COOLIDGE	PRODUCER	6775740	YES		7/10/2017
JOHN HASLAM	PRODUCER	4630492	YES		7/10/2017
AJDIN DROPIC	PRODUCER	7377975	YES		7/10/2017
JOSEPH GRIMSIC	PRODUCER	7361409	YES		7/10/2017
JEFFREY SLATTERY	PRODUCER	1025776	YES		7/10/2017

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:	JOHN ROGAN
Title:	AVP
Phone Number:	800-767-1000
Email Address:	JROGAN@MASSMUTUAL.COM