Notification of Changes for Business Entity
General Information  
Business Entity Name: TELETECH FINANCIAL SERVICES MANAGEMENT, LLC
Incorporation / Formation Date:  
FEIN: 91-2089159
Ohio License Number:
NPN:
DBA / Trade Name:  
State of Domicile: CO
County: ARAPAHOE
Business Address  
Address 1: 1209 ORANGE ST
Address 2:  
City: WILMINGTON
State: DE
Zip: 19801
Phone: 4175201775
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 9197 S PEORIA
Address 2:  
City: ENGLEWOOD
State: CO
Zip: 80112
   
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
CLOYDE, DEBRA MSR 18131515   YES 03/20/2017
CONRAD, AMANDA MSR 18092009   YES 03/28/2017
LABOUNTY, PAUL MSR 17845634   YES 03/17/2017
MARTINEZ, EDWARD MSR 18209549   YES 03/17/2017
MAYO, MATHEW MSR 18197137   YES 03/25/2017
MOON, KELLY MSR 18138527   YES 03/30/2017
OWREY, RYAN MSR 18334798   YES 03/29/2017
REEVES, BRYON MSR 17922576   YES 03/28/2017
WRIGHT, BRANDON MSR 18197234   YES 03/27/2017
           
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: STEPHEN L MILLER
Title: DIRECTOR
Phone Number: 4175201775
Email Address: STEPHENMILLER@TELETECH.COM