Notification of Changes for Business Entity
General Information  
Business Entity Name: MERRILL LYNCH LIFE AGENCY, INC
Incorporation / Formation Date:  
FEIN: 13-2808480
Ohio License Number:
NPN:
DBA / Trade Name:  
State of Domicile: WA
County: KING
Business Address  
Address 1: 1215 FOURTH AVE, 26TH FL
Address 2:  
City: SEATTLE
State: WA
Zip: 98161
Phone: 800-333-4858
Fax:  
Business Web Site Address:  
Business Email Address: AGENCY.LICENSING@BANKOFAMERICA.COM
Mailing Address  
Address 1: 9000 SOUTHSIDE BLVD
Address 2: BLDG 200, 4TH FL
City: JACKSONVILLE
State: FL
Zip: 32256
   
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
BENJAMIN JAMES AGENT 932536   YES 9/14/2017
ROBERT MANNERS AGENT 986557   YES 9/14/2017
CHRISTOPHER VINCENT AGENT 1076688   YES 9/14/2017
CHRISTOPHER MULLEN AGENT 993865   YES 9/14/2017
BLAGOJCE KOCOVSKI AGENT 1003379   YES 9/14/2017
SEEMA RAMROOP AGENT 933937   YES 9/14/2017
LAUREN CROASDAILE AGENT 1111036   YES 9/14/2017
JACOB TUTTLE AGENT 1086755   YES 9/14/2017
TERRY THOMPSON AGENT 675414   YES 9/14/2017
           
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: JOHNESE PRICE-JACKSON
Title: EAC COMPLIANCE SPECIALIST
Phone Number: 904-218-4207
Email Address: JOHNESE.PRICE-JACKSON@BANKOFAMERICA.COM