DEPARTMENT OF INSURANCE

Affiliations

Name	Stirm, Carl M	DOIID	333763	NAIC NPN	1587156

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/25/1991	7/6/2011
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001	7/6/2011
Inactive	Non Resident	Agent	Life	6/25/1991	7/6/2011
* 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	CMFG Life Insurance Company	300929	Agent - Health	9/19/2007	7/6/2011
Inactive	CMFG Life Insurance Company	300929	Agent - Life	9/19/2007	7/6/2011
Inactive	CMFG Life Insurance Company	300929	Agent - Variable Life and Variable Annuities	9/19/2007	7/6/2011
Inactive	CUNA Mutual Life Insurance Company	301467	Agent - Health	6/25/1991	12/31/2007
Inactive	CUNA Mutual Life Insurance Company	301467	Agent - Life	6/25/1991	12/31/2007
Inactive	CUNA Mutual Life Insurance Company	301467	Agent - Variable Life and Variable Annuities	5/31/2001	12/31/2007
Inactive	Integrity Life Insurance Company	301687	Agent - Life	1/2/2004	7/6/2011
Inactive	Integrity Life Insurance Company	301687	Agent - Variable Life and Variable Annuities	1/2/2004	7/6/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/12/2004	12/16/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/12/2004	12/16/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	1/12/2004	12/16/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	10/12/2004	8/27/2008
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	10/12/2004	8/27/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	LPL FINANCIAL LLC	399327	Agent - Life	1/20/2004	7/6/2011
Inactive	LPL FINANCIAL LLC	399327	Agent - Health	1/20/2004	7/6/2011
Inactive	LPL FINANCIAL LLC	399327	Agent - Variable Life and Variable Annuities	1/20/2004	7/6/2011