DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lion Street Private Client, LLC	DOIID	1085641	NAIC NPN	19492806

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/8/2020		3/31/2026
Active	Non Resident	Agent	Health	6/8/2020		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/12/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/12/2024
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	8/20/2020
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	8/20/2020
Active	Pacific Life Insurance Company	301848	Agent - Health	10/13/2020
Active	Pacific Life Insurance Company	301848	Agent - Life	10/13/2020
Active	Pruco Life Insurance Company	300954	Agent - Health	4/7/2022
Active	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Burmeister, John Fredrick	881958	Agent - Health	6/8/2020
Active	Burmeister, John Fredrick	881958	Agent - Life	6/8/2020
Active	Janecek, David Matthew	684636	Agent - Health	6/8/2020
Active	Janecek, David Matthew	684636	Agent - Life	6/8/2020