DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gunderson, Thomas Evan	DOIID	324328	NAIC NPN	227410

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/20/1997	12/31/2004
Inactive	Non Resident	Agent	Health	5/20/1997	12/31/2004
* 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
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/22/2002	12/31/2004
Inactive	Manufacturers Life Insurance Company of North America	301899	Agent - Life	9/25/1997	1/22/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/20/1997	6/30/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/20/1997	6/30/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Dakota Inc.	398730	Agent - Life	12/30/1997	3/3/2003
Inactive	First Dakota Inc.	398730	Agent - Health	12/30/1997	3/3/2003