Notification of Changes for Business Entity
General Information
Business Entity Name:	MERRILL LYNCH LIFE AGENCY, INC
Incorporation / Formation Date:
FEIN:	13-2808480
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	WA
County:	KING
Business Address
Address 1:	1215 FOURTH AVE, 26TH FL
Address 2:
City:	SEATTLE
State:	WA
Zip:	98161
Phone:	800-333-4858
Fax:
Business Web Site Address:
Business Email Address:	AGENCY.LICENSING@BANKOFAMERICA.COM
Mailing Address
Address 1:	9000 SOUTHSIDE BLVD
Address 2:
City:	JACKSONVILLE
State:	FL
Zip:	32256
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
ANTHONY SAPIO	AGENT	7934525		YES	6/17/2017
ARLETTE CATALDO	AGENT	426512		YES	6/17/2017
BRADLEY SENITA	AGENT	7833061		YES	6/17/2017
ANTHONY SEXTON	AGENT	8729000		YES	6/17/2017
BRIAN SHAMBOW	AGENT	4095500		YES	6/17/2017
CATHERINE SHANNON	AGENT	8780831		YES	6/17/2017
JOHN SHANK	AGENT	13605913		YES	6/17/2017
PAUL SKOWRONSKI	AGENT	1506615		YES	6/17/2017
THOMAS STRATTONCROOKE	AGENT	1706090		YES	6/17/2017
HAROLD STUCKEY	AGENT	5629218		YES	6/17/2017
KRISTY TANK	AGENT	17705173		YES	6/17/2017
KIRK TENNEY	AGENT	8887916		YES	6/17/2017
JOHN TRENTANOVE	AGENT	2356219		YES	6/17/2017
MAUREEN TSANG	AGENT	10379890		YES	6/17/2017
BRIAN UNDERWOOD	AGENT	10528508		YES	6/17/2017

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:	SHARLENE PANDOLFI
Title:	EAC COMPLIANCE OFFICER
Phone Number:	904 440 1240
Email Address:	SHARLENE_PANDOLFI@BANKOFAMERICA.COM