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
MICHAEL LEVIN	AGENT	49417		YES	6/21/17
ALEC LINDENAUER	AGENT	711099		YES	6/21/17
JOE LOCKE	AGENT	781263		YES	6/21/17
JEFFRY LOCKWOOD	AGENT	4181		YES	6/21/17
WILLIAM LONG	AGENT	761367		YES	6/21/17
MICHAEL LUCENTI	AGENT	1101906		YES	6/21/17
SCOTT LYONS	AGENT	780876		YES	6/21/17
RENALDO MACCIONEI	AGENT	19995		YES	6/21/17
SHANE MAHIEU	AGENT	767789		YES	6/21/17
JOHN MAI	AGENT	712658		YES	6/21/17
WILLIAM MARCOUX	AGENT	1089098		YES	6/21/17
JOHN MCABEE	AGENT	612676		YES	6/21/17
MRYON MCCRACKEN	AGENT	545747		YES	6/21/17
JOHN MCNAMARA	AGENT	781253		YES	6/21/17
VIVEK MEHRA	AGENT	598978		YES	6/21/17

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