Notification of Changes for Business Entity
General Information
Business Entity Name:	AAA TEXAS LLC
Incorporation / Formation Date:	12/29/2000
FEIN:	760664740
Ohio License Number:	35294
NPN:	5111111
DBA / Trade Name:
State of Domicile:	TX
County:	DALLAS
Business Address
Address 1:	1225 FREEPORT PKWY
Address 2:
City:	COPPELL
State:	TX
Zip:	75019
Phone:	5128998046
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	3333 FAIRVIEW ROAD STE A 451
Address 2:
City:	COSTA MESA
State:	CA
Zip:	92626
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
BREANE LEE MICELI	EMPLOYEE	8593124		YES	03/17/2017
BREANE LEE MICELI	RDA	8593124		YES	03/17/2017
VICKI G. FOSHEE	RDA	18113880	YES		03/17/2017

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
VICKI G. FOSHEE	VICE PRESIDENT	18113880	YES		03/17/2017

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:	GAIL LOUIS
Title:	CORPORATE SECRETARY
Phone Number:	7148851314
Email Address:	LOUIS.GAIL@AAA-CALIF.COM