Notification of Changes for Business Entity
General Information
Business Entity Name:	EFINANCIAL LLC
Incorporation / Formation Date:
FEIN:	912134962
Ohio License Number:	36879
NPN:	7149626
DBA / Trade Name:
State of Domicile:	WA
County:	KING
Business Address
Address 1:	13810 SE EASTGATE WAY
Address 2:	SUITE 300
City:	BELLEVUE
State:	WA
Zip:	98005
Phone:	4252161240
Fax:	4252161248
Business Web Site Address:
Business Email Address:	LICENSING@EFINANCIAL.NET
Mailing Address
Address 1:	13810 SE EASTGATE WAY
Address 2:	SUITE 300
City:	BELLEVUE
State:	WA
Zip:	98005
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
GENTRY GEVERS	AGENT	17672422	YES		1/15/2016
BENJAMIN COLEMAN	AGENT	16856979	YES		1/15/2016
NICHOLAS THIBEAU	AGENT	17509672	YES		1/15/2016
DENIS LEVASHOV	AGENT	17427701	YES		1/15/2016
JAY TALIAFERRO	AGENT	7021175	YES		1/15/2016
ADAM DOTY	AGENT	17639786	YES		1/15/2016
LASHUNDA BRADLEY	AGENT	17400798	YES		1/15/2016
ANDREW LOPEZ	AGENT	8738455	YES		1/15/2016
ATHENA POZDOL	AGENT	17421564	YES		1/15/2016
AARON KRAMER	AGENT	17609529	YES		1/15/2016
RYAN DOWELL	AGENT	17609532	YES		1/15/2016
BERHANU MEKONNEN	AGENT	17609526	YES		1/15/2016
BECK GILES	AGENT	16858201	YES		1/15/2016
BRADY WILLIAMS	AGENT	17592657	YES		1/15/2016
THOMAS CALDWELL	AGENT	16975200	YES		1/15/2016

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:	MICHAEL ROWELL
Title:	CEO
Phone Number:	4252161240
Email Address:	LICENSING@EFINANCIAL.NET