Notification of Changes for Business Entity
General Information
Business Entity Name:	INSURANCE ANSWER CENTER LLC
Incorporation / Formation Date:
FEIN:	261971917
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	CA
County:	LOS ANGELES
Business Address
Address 1:	15910 VENTURA BLVD FL 6
Address 2:
City:	ENCINO
State:	CA
Zip:	91436
Phone:	865-226-1060
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	PO BOX 261220
Address 2:
City:	ENCINO
State:	CA
Zip:	91426
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
GONZALEZ, JESSICA N.	PRODUCER	18350552		YES	05/22/2018
TAYLOR, MARKITTA D.	PRODUCER	17487349		YES	05/22/2018
TOWNE, SARAH N.	PRODUCER	18656923		YES	05/22/2018
CALONGE, HAILEY R.	PRODUCER	18583212		YES	05/22/2018
FORSGREN, CHRISTOPHER	PRODUCER	18538438		YES	05/22/2018
BALTHROP, BRANSON W.	PRODUCER	18678140		YES	05/22/2018
CAMPBELL, HUNTER C.	PRODUCER	18679145		YES	05/22/2018
CARTY, JOSEPH R.	PRODUCER	18667291		YES	05/22/2018
MATHEWSON, BOE A.	PRODUCER	18668687		YES	05/22/2018
SHUMAKER, ADAM J.	PRODUCER	18671798		YES	05/22/2018
BRADEN, DUSTIN E.	PRODUCER	17650783		YES	05/22/2018
IZADPANAH, SAMAR	PRODUCER	17235067		YES	05/22/2018
ROMERO, RUBEN	PRODUCER	17588004		YES	05/22/2018
MKRTCHYAN, ARMEN	PRODUCER	16470294		YES	05/22/2018
DELEON, RICARDO	PRODUCER	9493014		YES	05/22/2018

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:	BRENDA HARBIN
Title:	LICENSE MANAGER
Phone Number:	865-226-1060
Email Address:	TEAMLICENSING@ANSWERFINANCIAL.COM