Notification of Changes for Business Entity
General Information
Business Entity Name:	MML INSURANCE AGENCY, LLC
Incorporation / Formation Date:
FEIN:	04-3109325
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	OH
County:	HAMDEN
Business Address
Address 1:	1295 STATE STREET
Address 2:
City:	SPRINGFIELD
State:	MA
Zip:	01111
Phone:	800-767-1000
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	1295 STATE STREET
Address 2:
City:	SPRINGFIELD
State:	MA
Zip:	01111
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
SAMMY SAYED	PRODUCER	1817700	YES		9/15/2017
SHANE EDWARDS	PRODUCER	17972807	YES		9/15/2017
JEFFREY CHIPPER	PRODUCER	4088440	YES		10/6/2017
PATRICK HOWELL	PRODUCER	7405756	YES		9/19/2017
CHARLES BODROCK	PRODUCER	1869097		YES	9/18/2017
COLE GORSKE	PRODUCER	17957058		YES	9/22/2017
NICHOLAS KIMMA	PRODUCER	18002368		YES	9/21/2017
STEVEN MEIER	PRODUCER	7379305		YES	9/26/2017
JUSTIN CROSBY	PRODUCER	12313050		YES	10/5/2017

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:	JOHN ROGAN
Title:	AVP
Phone Number:	800-767-1000
Email Address:	JROGAN@MASSMUTUAL.COM