Notification of Changes for Business Entity
General Information
Business Entity Name:	WELLS FARGO WEALTH BROKERAGE INSURANCE AGENCY, LLC
Incorporation / Formation Date:
FEIN:	54-0702835
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	VA
County:	INDEPENDENT CITY
Business Address
Address 1:	1021 E CARY ST. 9TH FL.
Address 2:
City:	RICHMOND
State:	VA
Zip:	23219
Phone:	6056799704
Fax:
Business Web Site Address:
Business Email Address:	DUSTI.L.KATZER@WELLSFARGO.COM
Mailing Address
Address 1:	3201 N 4TH AVE
Address 2:
City:	SIOUX FALLS
State:	SD
Zip:	57104
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
SAMUEL SUTTERFIELD	AGENT	10715918		YES	11/15/2018
DAVID MEGARITY	AGENT	1089878	YES		11/15/2018
JAMES PARSONS	AGENT	1460738	YES		11/15/2018
SABRINA COLES	AGENT	17337844	YES		11/15/2018
TERESA WOOLERY	AGENT	17720696	YES		11/15/2018
PAUL KLEVORN	AGENT	17956272		YES	11/15/2018
MICHAEL BROWN	AGENT	6428709	YES		11/15/2018
LISA QUADRINI	AGENT	7117519	YES		11/15/2018
CHERYL TUCKER	AGENT	7622593	YES		11/15/2018
JULIE VITA	AGENT	7821867		YES	11/15/2018
SHENANDOAH ZIMMERMANN	AGENT	8550392	YES		11/15/2018
BRIEANE SCHELL	AGENT	9064851	YES		11/15/2018

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:	DUSTI KATZER
Title:	SECURITIES SPECIALIST
Phone Number:	6056799704
Email Address:	DUSTI.L.KATZER@WELLSFARGO.COM