Notification of Changes for Business Entity
General Information
Business Entity Name:	INSURANCE ANSWER CENTER LLC
Incorporation / Formation Date:
FEIN:	261971917
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	CA
County:	LOS ANGELES
Business Address
Address 1:	15910 VENTURA BLVD FL 6
Address 2:
City:	ENCINO
State:	CA
Zip:	91436
Phone:	865-226-1060
Fax:
Business Web Site Address:
Business Email Address:
Mailing Address
Address 1:	PO BOX 261220
Address 2:
City:	ENCINO
State:	CA
Zip:	91426
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
SHOTT, ALEXIS	PRODUCER	1127701	YES		12/14/2017
SMITH, SHIRLEY	PRODUCER	1042933	YES		12/14/2017
SMITH, STEPHEN	PRODUCER	1170882	YES		12/14/2017
SOMMER, DALE	PRODUCER	1115718	YES		12/14/2017
SUAREZ, JOEAMY	PRODUCER	1170102	YES		12/14/2017
SWEENEY, MEGAN	PRODUCER	1134322	YES		12/14/2017
TAYLOR, DEONA	PRODUCER	1123361	YES		12/14/2017
THERMIL, TAKISHA	PRODUCER	1047974	YES		12/14/2017
VERGARA, CAMILO	PRODUCER	1158408	YES		12/14/2017
WALTON, LINDA	PRODUCER	1130300	YES		12/14/2017
WEATHERBORN, YANINA	PRODUCER	1127940	YES		12/14/2017
WILLSON, TRISTIN	PRODUCER	1117550	YES		12/14/2017
WILSON, DENNIS	PRODUCER	1166653	YES		12/14/2017
YOST, DANNY	PRODUCER	1170634	YES		12/14/2017
PAGIATAKIS, CONSTANTINE	PRODUCER	1164272	YES		12/14/2017

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:	BRENDA HARBIN
Title:	LICENSE MANAGER
Phone Number:	865-226-1060
Email Address:	TEAMLICENSING@ANSWERFINANCIAL.COM