Notification of Changes for Business Entity
General Information  
Business Entity Name: YOURPEOPLE, INC.
Incorporation / Formation Date:  
FEIN: 460645293
Ohio License Number:
NPN:
DBA / Trade Name:  
State of Domicile: CA
County: SAN FRANCISCO
Business Address  
Address 1: 303 2ND ST, SUITE 401 NORTH TOWER
Address 2:  
City: SAN FRANCISCO
State: CA
Zip: 94107
Phone: 6282213185
Fax:  
Business Web Site Address:  
Business Email Address: ZABDULAHI@ZENEFITS.COM
Mailing Address  
Address 1: 303 2ND ST, SUITE 401 NORTH TOWER
Address 2:  
City: SAN FRANCISCO
State: CA
Zip: 94107
   
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
ELIZABETH MILLER BENEFITS ADVISOR 1089695 YES   03/22/2016
FORREST WITTENMEIER BENEFITS ADVISOR 1044157 YES   03/22/2016
GARRETT VAN ROOY BENEFITS ADVISOR 1097175 YES   03/22/2016
GENNAVIEVE LANGLOIS BENEFITS ADVISOR 1089482 YES   03/22/2016
GERARDO SERRANO BENEFITS ADVISOR 963417 YES   03/22/2016
GREGORY PUCKETT BENEFITS ADVISOR 1097305 YES   03/22/2016
JAKE MROCZKA BENEFITS ADVISOR 1096474 YES   03/22/2016
JAMESON YUNG BENEFITS ADVISOR 1071222 YES   03/22/2016
JENNA HALL BENEFITS ADVISOR 1097435 YES   03/22/2016
JENNIFER BANKS BENEFITS ADVISOR 1089548 YES   03/22/2016
JEREMY GEORGE BENEFITS ADVISOR 1098247 YES   03/22/2016
JESSE CHOHAN BENEFITS ADVISOR 1097201 YES   03/22/2016
JESSE JESUS HERNANDEZ BENEFITS ADVISOR 994223 YES   03/22/2016
JOHN JETTON BENEFITS ADVISOR 1089525 YES   03/22/2016
JOHNNY LAURENT BENEFITS ADVISOR 1090358 YES   03/22/2016
           
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: ZEKARIA ABDULAHI
Title: ANALYST
Phone Number: 6282213075
Email Address: ZABDULAHI@ZENEFITS.COM