Notification of Changes for Business Entity
General Information
Business Entity Name:	LINSCO PRIVATE LEDGER INSURANCE ASSOCIATES INC
Incorporation / Formation Date:	6/22/2004
FEIN:	06‐1440587
Ohio License Number:	61440587
NPN:	664043
DBA / Trade Name:
State of Domicile:	CA
County:	SAN DIEGO
Business Address
Address 1:	4707 EXECUTIVE DRIVE
Address 2:
City:	SAN DIEGO
State:	CA
Zip:	92121
Phone:	800-877-7210
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	4707 EXECUTIVE DRIVE
Address 2:
City:	SAN DIEGO
State:	CA
Zip:	92121
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
CRANDALL, TIMOTHY FRANCIS	PRODUCER	1041793	YES		11/30/17
AMMONS, THOMAS CARL	PRODUCER	223549	YES		11/30/17
HORSEMAN, JOHN MICHAEL	PRODUCER	798997	YES		11/30/17
BROOKS, JOHN EDGAR	PRODUCER	45534	YES		11/30/17
GRANOWITZ, DAVID GLEN	PRODUCER	978779	YES		11/30/17
DONADIO, ANTHONY JAMES	PRODUCER	1113498	YES		11/30/17
WIRTZ, CHARLES EDWARD	PRODUCER	34500	YES		11/30/17
ZING, DIANE CAROL	PRODUCER	940824	YES		11/30/17
BOKSHAN, JAMES DENNIS	PRODUCER	541879	YES		11/30/17
CANCELLIERE (JR), JOSEPH JOHN	PRODUCER	1021970	YES		11/30/17
MOTSKE, JEFFREY RALPH	PRODUCER	604506	YES		11/30/17
DETTORRE, CASEY	PRODUCER	994080	YES		11/30/17
PARKER, NATHANIAL LEE	PRODUCER	1012083	YES		11/30/17
CATHELL, GERALD SCOTT	PRODUCER	43521	YES		11/30/17
PIERCE, JOSHUA HEINRICH	PRODUCER	1097853	YES		11/30/17

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:	JACQUELINE PARKS
Title:	COMPLIANCE SPECIALIST
Phone Number:	800-877-7210
Email Address:	JACQUELINE.PARKS@LPL.COM