DEPARTMENT OF INSURANCE

Affiliations

Name	Shannon, David W	DOIID	1237587	NAIC NPN	15757414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	10/19/2022	12/31/2023
Inactive	Non Resident	Agent	Life	10/19/2022	12/31/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/19/2022	12/12/2023
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	12/19/2022	12/8/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	7/19/2023	12/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	7/19/2023	12/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ubs Financial Services Ins Agency Inc	399373	Agent - Life	12/19/2022	12/31/2023
Inactive	Ubs Financial Services Ins Agency Inc	399373	Agent - Variable Life and Variable Annuities	12/19/2022	12/31/2023