Notification of Changes for Business Entity
General Information
Business Entity Name:	WELLS FARGO ADVISORS INSURANCE AGENCY, LLC
Incorporation / Formation Date:
FEIN:	54-0910269
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	VA
County:	INDEPENDENT CITY
Business Address
Address 1:	901 E. BYRD ST.
Address 2:
City:	RICHMOND
State:	VA
Zip:	23219
Phone:	6057825218
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	3201 N 4TH AVE
Address 2:
City:	SIOUX FALLS
State:	SD
Zip:	57104
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
JOSEPH HAMMONS	AGENT	10380271		YES	03/22/2018
TROY HARTMAN	AGENT	1431761		YES	03/22/2018
JOSHUA SMITH	AGENT	17442970	YES		03/22/2018
JERAMY MAY	AGENT	2212239		YES	03/22/2018
RONALD ROSS	AGENT	4891562	YES		03/22/2018
TONY KINNAIRD	AGENT	5070899	YES		03/22/2018
WENDY KEELER	AGENT	7530050	YES		03/22/2018
BRUCE TOWNSEND	AGENT	8288592	YES		03/22/2018

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:	DUSTI KATZER
Title:	SECURITIES SPECIALIST
Phone Number:	6057825218
Email Address:	DUSTI.L.KATZER@WELLSFARGO.COM