Notification of Changes for Business Entity
General Information
Business Entity Name:	MERRILL LYNCH LIFE AGENCY, INC
Incorporation / Formation Date:
FEIN:	13-2808480
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	WA
County:	KING
Business Address
Address 1:	1215 FOURTH AVE, 26TH FL
Address 2:
City:	SEATTLE
State:	WA
Zip:	98161
Phone:	800-333-4858
Fax:
Business Web Site Address:
Business Email Address:	AGENCY.LICENSING@BANKOFAMERICA.COM
Mailing Address
Address 1:	9000 SOUTHSIDE BLVD
Address 2:
City:	JACKSONVILLE
State:	FL
Zip:	32256
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
MARK BEACH	AGENT	2829915		YES	6/12/2017
HELEN DEBEARN	AGENT	3047773		YES	6/12/2017
TIMOTHY BELLARS	AGENT	1981691		YES	6/12/2017
CHARLES BENTLEY	AGENT	1338033		YES	6/12/2017
JAMES BISHOP	AGENT	1774284		YES	6/12/2017
LIANE BLAKE	AGENT	8349600		YES	6/12/2017
ROBERT BLOMMEL	AGENT	1763534		YES	6/12/2017
MICHELLE BOGDANOFF	AGENT	11126996		YES	6/12/2017
JUSTIN BOWERS	AGENT	8299242		YES	6/12/2017
CRAIG CIVICCHIA	AGENT	16115364		YES	6/12/2017
JOHN CIOCCA	AGENT	8340788		YES	6/12/2017
CHRISTOPHER COOK	AGENT	1018119		YES	6/12/2017
CINDY CORNETTE	AGENT	2344190		YES	6/12/2017
WILLIAM CURTIS	AGENT	7980026		YES	6/12/2017
EDWARD CUSICK	AGENT	1704873		YES	6/12/2017

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:	SHARLENE PANDOLFI
Title:	EAC COMPLIANCE OFFICER
Phone Number:	904 440 1240
Email Address:	SHARLENE_PANDOLFI@BANKOFAMERICA.COM