Notification of Changes for Business Entity
General Information
Business Entity Name:	WELLS FARGO ADVISORS INSURANCE AGENCY, LLC
Incorporation / Formation Date:
FEIN:	54-0910269
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	VA
County:	INDEPENDENT CITY
Business Address
Address 1:	901 E. BYRD ST.
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
RICHARD LOWRIE JR	AGENT	2827250	YES		11/15/2018
DOMINIC GUIDO	AGENT	376188		YES	11/15/2018
JOHN ANASTASIA	AGENT	386822		YES	11/15/2018
REBECCA BROOKS	AGENT	4035617	YES		11/15/2018
MARGO SHEPARD	AGENT	470198	YES		11/15/2018
TROY STOVERN	AGENT	5071684	YES		11/15/2018
BRYAN VOWELS	AGENT	5076025	YES		11/15/2018
ERNEST JOHNSTON	AGENT	535593		YES	11/15/2018
WALTER KENNEDY IV	AGENT	6595204		YES	11/15/2018
BRIAN BRATSPIS	AGENT	6711186		YES	11/15/2018
DAWN WEHRHAN	AGENT	6809734	YES		11/15/2018
CLARENCE MURRAY III	AGENT	6818893	YES		11/15/2018
DEANNA BARNHART	AGENT	6829810	YES		11/15/2018
HAROLD HINZ	AGENT	6865346	YES		11/15/2018
BEVERLY HENTGES	AGENT	7084934	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