Notification of Changes for Business Entity
General Information
Business Entity Name:	TRANSAMERICA RETIREMENT INSURANCE AGENCY LLC
Incorporation / Formation Date:
FEIN:	46-2720367
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	MN
County:	RAMSEY
Business Address
Address 1:	TRANSAMERICA
Address 2:	408 ST. PETER STREET, SUITE 230
City:	ST. PAUL
State:	MN
Zip:	55102
Phone:	6512864700
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	408 ST. PETER STREET, SUITE 230
Address 2:
City:	ST. PAUL
State:	MN
Zip:	55102
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
GREGORY TROUT	INSURANCE PRODUCER	18851793	YES		7.31.18

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:	JACKIE BUCHHOLZ
Title:	LEAD LICENSING SPECIALIST
Phone Number:	6512864743
Email Address:	JACKIE.BUCHHOLZ@TRANSAMERICA.COM