Notification of Changes for Business Entity
General Information
Business Entity Name:	WELLS FARGO ADVISORS INSURANCE AGENCY, LLC
Incorporation / Formation Date:
FEIN:	540910269
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	VA
County:	INDEPENDENT CITY
Business Address
Address 1:	901 E. BYRD ST.
Address 2:
City:	RICHMOND
State:	VA
Zip:	23219
Phone:	605-782-5116
Fax:
Business Web Site Address:
Business Email Address:	JENNIFER.L.BECHT@WELLSFARGO.COM
Mailing Address
Address 1:	3201 N 4TH AVE
Address 2:
City:	SIOUX FALLS
State:	SD
Zip:	57104
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
PETER HILTZ	AGENT	10219040		YES	12/14/2017
BRENDA WHISNANT WHITE	AGENT	16787959	YES		12/14/2017
ALEXANDER TANIOUS	AGENT	16999478	YES		12/14/2017
JEFFREY HACKETT	AGENT	17394043		YES	12/14/2017
CHRISTIAN PETREDIS	AGENT	17745974	YES		12/14/2017
PAUL D GUERRA	AGENT	1819817		YES	12/14/2017
REBECCA BEA STEWART	AGENT	18464762	YES		12/14/2017
FRANK C SNYDER	AGENT	1862454		YES	12/14/2017
OM P GUPTA	AGENT	2001840		YES	12/14/2017
JOHN B OFFENBURGER	AGENT	2759526		YES	12/14/2017
MARC DUBROFF	AGENT	2779049		YES	12/14/2017
THEODORE E MACK	AGENT	2780188	YES		12/14/2017
JAMIE ELAINE TOMLIN	AGENT	485101		YES	12/14/2017
TIMOTHY PATRICK CUSICK	AGENT	766793		YES	12/14/2017
THOMAS HAROLD NELSON	AGENT	8170086		YES	12/14/2017

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:	JENNIFER BECHT
Title:	SECURITIES SPECIALIST
Phone Number:	605-782-5116
Email Address:	JENNIFER.L.BECHT@WELLSFARGO.COM