Notification of Changes for Business Entity
General Information  
Business Entity Name: EXLSERVICE TECHNOLOGY SOLUTIONS, LLC
Incorporation / Formation Date:  
FEIN: 35-2126362
Ohio License Number:
NPN:
DBA / Trade Name:  
State of Domicile: IN
County: MARION COUNTY
Business Address  
Address 1: 10201 N. ILLINOIS STREET, SUITE 420
Address 2:  
City: INDIANAPOLIS
State: IN
Zip: 46290
Phone: 317-844-7750
Fax:  
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: C/O HOLLAND & KNIGHT LLP (ATTN: MELISSA WONG)
Address 2: 10 ST. JAMES AVENUE, 11TH FL
City: BOSTON
State: MA
Zip: 02116
   
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
           
Members, Owners, Partners, Officers and Directors
Name Title Identifying # Add Delete Eff. Date
PHILLIP J. KAPUTA TREASURER, SENIOR VICE PRESIDE 074-66-7083 YES   8/1/2018
NALIN MIGLANI EXECUTIVE VICE PRESIDENT 729-85-4739 YES   8/1/2018
NAGARAJA SRIVATSAN EXECUTIVE VICE PRESIDENT 344-84-8956 YES   8/1/2018
NANCY SALTZMAN GC, CORP. SEC., EVP 122-40-0531   YES 8/1/2018
REMBERT DE VILLA EXECUTIVE VICE PRESIDENT 620-02-0879   YES 7/31/2018
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: AJAY AYYAPPAN
Title: DEPUTY GENERAL COUNSEL, CORPORATE SECRETARY, VICE PRESIDENT
Phone Number: 212-277-7117
Email Address: LICENSING.LEGAL@EXLSERVICE.COM