Notification of Changes for Business Entity
General Information
Business Entity Name:	LINSCO PRIVATE LEDGER INSURANCE ASSOCIATES INC
Incorporation / Formation Date:	06/22/2004
FEIN:	06-1440587
Ohio License Number:	61440587
NPN:	664043
DBA / Trade Name:
State of Domicile:	CA
County:	SAN DIEGO
Business Address
Address 1:	4707 EXECUTIVE DRIVE
Address 2:
City:	SAN DIEGO
State:	CA
Zip:	92121
Phone:	8008777210
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	4707 EXECUTIVE DRIVE
Address 2:
City:	SAN DIEGO
State:	CA
Zip:	92121
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
MERCER, JON FRANKLIN	PRODUCER	23807	YES		11/30/2017
MCCOLLUM, ANDREW JON	PRODUCER	958813	YES		11/30/2017
SEEB, DENNIS ANTHONY	PRODUCER	1067007	YES		11/30/2017
DAVE, KIRAN PRATAPRAI	PRODUCER	59657	YES		11/30/2017
OSGOOD, ERIC DAVID	PRODUCER	1116327	YES		11/30/2017
ANDERSON, JERRY BRUCE	PRODUCER	1041288	YES		11/30/2017
MISRA, GAUTAM	PRODUCER	794012	YES		11/30/2017
HAMBERG, ERIC THOMAS	PRODUCER	1056809	YES		11/30/2017
SAYLOR, RIK JAMES HENRIK	PRODUCER	14311	YES		11/30/2017
FORD, DAVID PATRICK	PRODUCER	612236	YES		11/30/2017
GILTNER, JEROME JOHN	PRODUCER	43423	YES		11/30/2017
NOBLE, LINDA MEYERS	PRODUCER	37434	YES		11/30/2017
DONATELLI, RICHARD JOHN	PRODUCER	30068	YES		11/30/2017
VILSACK, RICHARD STEVEN	PRODUCER	720	YES		11/30/2017
SLONEKER, TIMOTHY J	PRODUCER	593299	YES		11/30/2017

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:	JACQUELINE PARKS
Title:	COMPLIANCE SPECIALIST
Phone Number:	8008777210
Email Address:	JACQUELINE.PARKS@LPL.COM