Notification of Changes for Business Entity
General Information
Business Entity Name:	EFINANCIAL LLC
Incorporation / Formation Date:
FEIN:	912134962
Ohio License Number:	36879
NPN:	7149626
DBA / Trade Name:
State of Domicile:	WA
County:	KING
Business Address
Address 1:	13810 SE EASTGATE WAY
Address 2:	SUITE 300
City:	BELLEVUE
State:	WA
Zip:	98005
Phone:	4252161240
Fax:	4252161248
Business Web Site Address:
Business Email Address:	LICENSING@EFINANCIAL.NET
Mailing Address
Address 1:	13810 SE EASTGATE WAY
Address 2:	SUITE 300
City:	BELLEVUE
State:	WA
Zip:	98005
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
AMANDA LOTT	AGENT	17588145	YES		01/15/2016
FERNANDO FALQUEZ	AGENT	17583777	YES		01/15/2016
JEFFREY HARKENSEE	AGENT	17571587	YES		01/15/2016
MICHAEL BUCHMAN	AGENT	17554426	YES		01/15/2016
JOSHUA BLANCHARD	AGENT	17560596	YES		01/15/2016
RICHARD DOUGHERTY	AGENT	17546847	YES		01/15/2016
MICHAEL ISLEY	AGENT	17473800	YES		01/15/2016
MICHELLE ZAMORA	AGENT	17546800	YES		01/15/2016
ERIC PASSEAU	AGENT	17538764	YES		01/15/2016
MICHAEL WHITE	AGENT	17504835	YES		01/15/2016
JORDAN DIVELBISS	AGENT	17496376	YES		01/15/2016
NIKOLAS QUIRO	AGENT	17494844	YES		01/15/2016
JONATHON HAMILTON	AGENT	17499514	YES		01/15/2016
MEGHAN VANBUSKIRK	AGENT	17480812	YES		01/15/2016
KEANNA GARNER	AGENT	17490702	YES		01/15/2016

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)	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:	MICHAEL ROWELL
Title:	CEO
Phone Number:	4252161240
Email Address:	LICENSING@EFINANCIAL.NET