DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sparks, Donald Wayne	DOIID	366864	NAIC NPN	7198852

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/9/2002	6/1/2012
Inactive	Resident	Agent	Life	7/9/2002	6/1/2012
* 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	Northern Life Insurance Company	300301	Agent - Health	7/9/2002	10/2/2002
Inactive	Northern Life Insurance Company	300301	Agent - Life	7/9/2002	10/2/2002
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/2/2002	6/1/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/2/2002	6/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Annuity Associates Inc.	401283	Agent - Life	10/23/1998	1/16/2002
Inactive	Annuity Associates Inc.	401283	Agent - Health	10/23/1998	1/16/2002