Notification of Changes for Business Entity
General Information  
Business Entity Name: COMPREHENSIVE LIFE INSURANCE SERVICES, LLC
Incorporation / Formation Date: 05/04/1998
FEIN: 95-4686368
Ohio License Number: 28669
NPN: 2753597
DBA / Trade Name:  
State of Domicile: CA
County: VENTURA
Business Address  
Address 1: 2801 TOWNSGATE ROAD, #240
Address 2:  
City: WESTLAKE VILLAGE
State: CA
Zip: 91361
Phone: 8054352786
Fax: 8054945018
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 2801 TOWNSGATE ROAD, #240
Address 2:  
City: WESTLAKE VILLAGE
State: CA
Zip: 91361
   
Indicate the type of change you are seeking
Address Change: YES
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: NO
   
Licensed Producers
Name Title NPN Add Delete Eff. Date
           
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: WENDY ACKERMAN
Title: VICE PRESIDENT
Phone Number: (805)435-2786
Email Address: WENDYACKERMAN@APITLIFE.COM