Notification of Changes for Business Entity
General Information
Business Entity Name:	VERIZON WIRELESS SERVICES, LLC
Incorporation / Formation Date:	04/12/2000
FEIN:	223723921
Ohio License Number:	968450
NPN:	5321045
DBA / Trade Name:
State of Domicile:	DE
County:	USA
Business Address
Address 1:	ONE VERIZON WAY 54S022C
Address 2:
City:	BASKING RIDGE
State:	NJ
Zip:	07920
Phone:	908-559-7499
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	11460 TOMAHAWK CREEK PKWY, STE 300
Address 2:
City:	LEAWOOD
State:	KS
Zip:	66211
Indicate the type of change you are seeking
Address Change:	YES
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:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date

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:	KAREN SHIPMAN
Title:	ASSISTANT SECRETARY
Phone Number:	816-237-3139
Email Address:	VERIZONLIC@ASURION.COM