Notification of Changes for Business Entity
General Information
Business Entity Name:	SECURITIES AMERICA INC
Incorporation / Formation Date:
FEIN:	112551174
Ohio License Number:
NPN:	654151
DBA / Trade Name:
State of Domicile:	NE
County:	SARPY
Business Address
Address 1:	12325 PORT GRACE BLVD
Address 2:
City:	LA VISTA
State:	NE
Zip:	68128
Phone:	80074761116145
Fax:
Business Web Site Address:
Business Email Address:	DHYNES@SAIONLINE.COM
Mailing Address
Address 1:	PO BOX 460001
Address 2:
City:	PAPILLION
State:	NE
Zip:	68046
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:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date
TAMARA JULIEN	REGISTERED REP PRODUCER	7669062	YES		12/20/2017
WILLIAM BRICE	REGISTERED REP PRODUCER	749872	YES		12/14/2017
EDWARD SOMMER	REGISTERED REP PRODUCER	1715215	YES		12/18/2017
GERMAN CABRERA	REGISTERED REP PRODUCER	17394424	YES		12/18/2017
CARL SWANSON	REGISTERED REP PRODUCER	16354380	YES		12/18/2017
DAVID LAWLER	REGISTERED REP PRODUCER	8468765	YES		12/18/2017
ROBERT BUCK	REGISTERED REP PRODUCER	2211550	YES		12/18/2017
BRITAIN COLDREN	REGISTERED REP PRODUCER	18136190	YES		12/18/2017
RYAN GARTRELL	REGISTERED REP PRODUCER	17175275	YES		12/18/2017
EDWARD SOMMER	REGISTERED REP PRODUCER	17155048	YES		12/18/2017
CLARK MAY	REGISTERED REP PRODUCER	8211615	YES		12/18/2017
MARK DUNCAN	REGISTERED REP PRODUCER	2229075	YES		12/18/2017

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:	DAMON HYNES
Title:	ANALYST
Phone Number:	80074761116145
Email Address:	DHYNES@SAIONLINE.COM