Notification of Changes for Business Entity
General Information  
Business Entity Name: METLIFE SECURITIES, INC
Incorporation / Formation Date:  
FEIN: 133175978
Ohio License Number: 41575
NPN: 15804904
DBA / Trade Name:  
State of Domicile: DE
County: NEW CASTLE
Business Address  
Address 1: C/O CORPORATION TRUST 1209 ORANGE ST
Address 2:  
City: WILMINGTON
State: DE
Zip: 19801
Phone: 888-645-4408
Fax: 908-552-2444
Business Web Site Address:  
Business Email Address: CLR_APPOINTMENT_RENEWALS@METLIFE.COM
Mailing Address  
Address 1: 1095 AVENUE OF THE AMERICAS
Address 2:  
City: NEW YORK
State: NY
Zip: 10036
   
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
ADAM A PROHASKA PRODUCER 17518294 YES   6/7/2016
ADAM Z PETERS PRODUCER 16620036 YES   6/7/2016
           
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: ORLANDO CRUZ
Title: PRESIDENT
Phone Number: 8886454408
Email Address: CLR_APPOINTMENT_RENEWALS@METLIFE.COM