DEPARTMENT OF INSURANCE

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.

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