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:	S
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:	BLDG 200, 4TH FL
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
ALVUT, MARK	AGENT	3275878		YES	7/6/2017
REIBEL, SOPHIE	AGENT	16803997		YES	7/6/2017
FRIEDLANDER, DAVID	AGENT	15856239		YES	7/6/2017
CREEF, WAYNE	AGENT	3086552		YES	7/6/2017
DESFORGES, AL	AGENT	441466		YES	7/6/2017
BARCHENT, RICHARD	AGENT	2263583		YES	7/6/2017
MITCHELL, JUSTIN	AGENT	3745260		YES	7/6/2017
MOCERI, JOSEPH	AGENT	978921		YES	7/6/2017
RHODA, ELKE	AGENT	3491076		YES	7/6/2017
SOPHER, RICHARD	AGENT	2835288		YES	7/6/2017
HERMAN, BENJAMIN	AGENT	16915294		YES	7/6/2017
MUDD, TRAVIS	AGENT	15853785		YES	7/6/2017
SAXTON, JOHN	AGENT	17293748		YES	7/6/2017

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