DEPARTMENT OF INSURANCE

Affiliations

Name	Burke, Garrett Dean	DOIID	356772	NAIC NPN	1884554

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	1/10/1984	7/31/2006
Inactive	Resident	Agent	General Lines	1/12/1988	12/30/1999
Inactive	Resident	Agent	Health	1/10/1984	7/31/2006
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	All American Life Insurance Company	300702	Agent - Health	8/30/1993	7/10/1998
Inactive	All American Life Insurance Company	300702	Agent - Life	8/30/1993	7/10/1998
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	7/31/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	7/31/2006
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	1/12/1988	12/30/1999
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/4/1994	7/15/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	12/4/1996	7/31/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/30/1985	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/30/1985	3/31/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/16/1990	7/31/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/16/1990	7/31/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	1/18/1996	8/21/1998
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	1/18/1996	8/21/1998
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	1/12/1988	12/30/1999
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	11/5/1993	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	11/5/1993	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	3/9/1994	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/9/1994	3/31/1997
Inactive	Union Central Life Insurance Company	300307	Agent - Health	7/15/1993	8/2/1999
Inactive	Union Central Life Insurance Company	300307	Agent - Life	7/15/1993	8/2/1999
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/8/1994	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/8/1994	3/31/1997
Inactive		300277	Agent - Health	10/23/1997	2/2/2005
Inactive		300277	Agent - Life	10/23/1997	3/17/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	6/19/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	6/19/2000
Inactive	Professional Financial Services Inc.	399491	Agent - Life	1/10/1984	5/31/2004
Inactive	Professional Financial Services Inc.	399491	Agent - Health	1/10/1984	5/31/2004