Notification of Changes for Business Entity
General Information
Business Entity Name:	WELLS FARGO ADVISORS INSURANCE AGENCY LLC.
Incorporation / Formation Date:
FEIN:	540910269
Ohio License Number:	28429
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:	6057825112
Fax:	8448790217
Business Web Site Address:	HTTP://WWW.WELLSFARGOADVISORS.COM
Business Email Address:	AGENCYLICENSING@WELLSFARGO.COM
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
BENAVIDEZ, DEVONA L	AGENT	12095504	YES		06/27/2017
MEYER, KATHLEEN M	AGENT	2194896		YES	06/27/2017
REAMES JR., LOUIS	AGENT	7439990		YES	06/27/2017
REIGHARD, KURT	AGENT	6744467	YES		06/29/2017
MEYER, KATHLEEN	AGENT	2194896		YES	06/27/2017
KAUFMAN, JEROLD	AGENT	515641		YES	06/27/2017
TENNYSON, ELEANOR	AGENT	1919543		YES	06/27/2017
BRALEY, THOMAS	AGENT	2335605		YES	06/29/2017
AVERY, REBECCA	AGENT	6577068	YES		06/27/2017
PIKE, JOHN	AGENT	1326317		YES	06/27/2017
CAPRIOTTI, ANTHONY M	AGENT	7150108		YES	06/27/2017
MERINO, MONIQUE	AGENT	16820441		YES	06/27/2017

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)	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:	MELISSA L SHUTT
Title:	SOSS2
Phone Number:	6057825112
Email Address:	MELISSA.L.SHUTT@WELLSFARGO.COM