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:	27063
NPN:
DBA / Trade Name:
State of Domicile:	VA
County:	INDEPENDENT CITY
Business Address
Address 1:	901 E BYRD
Address 2:
City:	RICHMOND
State:	VA
Zip:	23219
Phone:	6057825112
Fax:	8448790217
Business Web Site Address:	WWW.WELLSFARGO.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
WELKER, DANIEL HARLAN	AGENT	1426378		YES	01/02/2017
PRICE, DAVID CRAIG	AGENT	487538		YES	01/02/2017
SERRA, JOSE A	AGENT	481912		YES	01/05/2017
BILLS, MICHAEL JOHN	AGENT	3325316		YES	01/02/2017
SCHALLER, PAUL R	AGENT	1841672		YES	01/06/2017
PETREDIS, ALEXANDRA D	AGENT	17452437	YES		01/05/2017
NORRIS, ANDREW SCOTT	AGENT	16473366		YES	01/04/2017
STROMWALL, ANDREW RIZZI	AGENT	15699481	YES		01/05/2017
WAKE, CAROL ANN	AGENT	17143782		YES	01/02/2017
NWASIKE, CHUKWUEMEKA CHRISTIAN	AGENT	10697092		YES	01/02/2017
BOGGESS, COLLEEN K	AGENT	16561076		YES	01/02/2017
KELTY, DAVID L	AGENT	8046778		YES	01/02/2017
DETTS JR, DONALD F	AGENT	1714898		YES	01/02/2017
WELCH, EMILY E	AGENT	17476423		YES	01/02/2017
DURALIA, JAMES P	AGENT	1631364		YES	01/04/2017

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