DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fales, Christopher	DOIID	377162	NAIC NPN	243333

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	9/7/2012	9/29/2015
Inactive	Non Resident	Agent	Health	5/18/1994	3/31/1997
Inactive	Non Resident	Agent	Life	11/14/2012	9/29/2015
* 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	Everlake Life Insurance Company	300873	Agent - Health	5/18/1994	3/31/1997
Inactive	Everlake Life Insurance Company	300873	Agent - Life	5/18/1994	3/31/1997
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/16/2012	11/27/2014
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/16/2012	11/27/2014
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	11/6/2012	10/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Life	11/21/2012	10/31/2014
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	11/21/2012	10/30/2014