Notification of Changes for Business Entity
General Information
Business Entity Name:	AMERITAS INVESTMENT CORP.
Incorporation / Formation Date:	12-29-83
FEIN:	47-0663374
Ohio License Number:	25178
NPN:	757746
DBA / Trade Name:
State of Domicile:	NE
County:	LANCASTER
Business Address
Address 1:	5900 O STREET
Address 2:
City:	LINCOLN
State:	NE
Zip:	68510
Phone:	402-467-6938
Fax:	402-467-6902
Business Web Site Address:	HTTP://WWW.AMERITAS.COM
Business Email Address:	KSILVA@AMERITAS.COM
Mailing Address
Address 1:	5900 O STREET
Address 2:
City:	LINCOLN
State:	NE
Zip:	68510
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

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
GERALD Q. HERBERT	VICE PRESIDENT	297-54-3665		YES	03/27/2017
SALENE HITCHCOCK-GEAR	DIRECTOR	364-76-9221		YES	05/25/2017
SALENE HITCHCOCK-GEAR	OFFICER	364-76-9221		YES	05/25/2017
SALENE HITCHCOCK-GEAR	PRESIDENT	364-76-9221		YES	05/25/2017
SCOTT E. FLETCHER	OFFICER	506-06-5886		YES	04/07/2017
SCOTT E. FLETCHER	VICE PRESIDENT	506-06-5886		YES	04/07/2017
TIMMY L. STONEHOCKER	DIRECTOR	479-82-1319		YES	03/31/2017
TIMMY L. STONEHOCKER	OFFICER	479-82-1319		YES	03/31/2017
BRENT F. KORTE	DIRECTOR	387-66-0332	YES		04/01/2017
CHERYL L. HEILMAN	PRESIDENT, DIRECTOR	157-68-8490	YES		05/26/2017

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)
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:	GERALD Q. HERBERT
Title:	OFFICER
Phone Number:	402-467-6938
Email Address:	GHERBERT@AMERITAS.COM