Notification of Changes for Business Entity
General Information  
Business Entity Name: TELETECH FINANCIAL SERVICES MANAGEMENT, LLC
Incorporation / Formation Date:  
FEIN: 91-2089159
Ohio License Number:
NPN:
DBA / Trade Name:  
State of Domicile: CO
County: ARAPAHOE
Business Address  
Address 1: 1209 ORANGE ST
Address 2:  
City: WILMINGTON
State: DE
Zip: 19801
Phone: 417-520-1775
Fax: 417-520-0309
Business Web Site Address:  
Business Email Address:  
Mailing Address  
Address 1: 9197 S PEORIA
Address 2:  
City: ENGLEWOOD
State: CO
Zip: 80112
   
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
ERICA HAISLIP MSR 17829711   YES 10/26/2016
DARIAN N HARRIS MSR 17784961   YES 10/24/2016
DIONNDRA LOPEZ MSR 177977580   YES 10/24/2016
ANDREW K NELSEN MSR 17845665   YES 10/24/2016
SHERMAN T SOUDERS MSR 5028426   YES 10/24/2016
RYAN T HARE MSR 17730050   YES 11/18/2016
LANCE LANE MSR 17837846   YES 11/22/2016
KATELYN WALLACE MSR 17827061   YES 11/14/2016
PAIGE HEIKKILA MSR 17533149   YES 11/11/2016
TAMARA PRIEST MSR 17975702   YES 10/24/2016
           
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)
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: STEPHEN L MILLER
Title: DIRECTOR
Phone Number: 417-520-1775
Email Address: STEPHENMILLER@TELETECH.COM