DEPARTMENT OF INSURANCE

Affiliations

Name	Fazenbaker II, Jennings Bryan	DOIID	393568	NAIC NPN	3937485

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Credit Life & Health	6/29/1999	4/4/2000
Inactive	Resident	Agent	Health	8/30/2006	10/1/2011
Inactive	Resident	Agent	Life	8/30/2006	10/1/2011
Inactive	Resident	Agent	Limited Line Credit	9/13/2013	9/30/2015
Inactive	Resident	Agent	Variable Life and Variable Annuities	8/30/2006	10/1/2011
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	1/4/2007	10/1/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/4/2007	10/1/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	1/4/2007	10/1/2011
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	11/13/1997	11/6/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	11/13/1997	11/6/2002
Inactive	American United Life Insurance Company	300498	Agent - Health	10/20/2006	10/19/2009
Inactive	American United Life Insurance Company	300498	Agent - Life	10/20/2006	10/19/2009
Inactive	American United Life Insurance Company	300498	Agent - Variable Life and Variable Annuities	10/20/2006	10/19/2009
Inactive	C.M. Life Insurance Company	301335	Agent - Health	11/7/2008	10/27/2009
Inactive	C.M. Life Insurance Company	301335	Agent - Life	11/7/2008	10/27/2009
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	11/7/2008	10/27/2009
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Health	4/20/1998	7/1/2004
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Life	4/20/1998	7/1/2004
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Variable Life and Variable Annuities	6/21/2001	7/1/2004
Inactive	Delaware Life Insurance Company	301256	Agent - Life	3/30/1998	7/1/2004
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	6/19/2001	7/1/2004
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	6/2/2008	7/11/2011
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	10/14/2009	10/1/2011
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	10/14/2009	10/1/2011
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	5/10/2001	1/1/2004
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Variable Life and Variable Annuities	5/10/2001	1/1/2004
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	9/7/2004	7/1/2006
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	9/7/2004	7/1/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	11/19/2008	4/22/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	11/19/2008	4/22/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Variable Life and Variable Annuities	11/19/2008	4/22/2009
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	10/3/2001	7/1/2004
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Variable Life and Variable Annuities	10/3/2001	7/1/2004
Inactive	Integrity Life Insurance Company	301687	Agent - Life	1/9/2006	7/1/2006
Inactive	Integrity Life Insurance Company	301687	Agent - Variable Life and Variable Annuities	1/9/2006	7/1/2006
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	9/13/2013	9/30/2015
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	8/16/2007	10/1/2011
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	8/16/2007	10/22/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	6/12/2003	7/1/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	6/12/2003	7/1/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	9/8/2004	7/1/2006
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/5/2008	12/23/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	3/5/2008	12/31/2010
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	6/12/2003	7/1/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	9/8/2004	7/1/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/24/2007	10/26/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/24/2007	10/26/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	7/24/2007	10/26/2011
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	11/7/2008	10/27/2009
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	11/7/2008	10/27/2009
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	11/7/2008	10/27/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/30/1997	7/1/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/30/1997	7/1/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	3/31/2001	7/1/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	8/31/2006	11/4/2009
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	8/31/2006	11/4/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Life	10/15/2009	3/10/2011
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	10/15/2009	3/10/2011
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/5/2008	10/1/2011
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/5/2008	10/1/2011
Inactive	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	6/5/2008	10/1/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/10/2007	10/1/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	8/10/2007	10/1/2011
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	8/10/2007	10/1/2011
Inactive	Security Life of Denver Insurance Company	300648	Agent - Variable Life and Variable Annuities	8/10/2007	10/1/2011
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	10/5/1998	5/15/2001
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	10/5/1998	5/15/2001
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	11/10/2004	7/1/2006
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	11/10/2004	7/1/2006
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	2/8/2001	3/31/2003
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	11/15/2007	10/1/2011
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	11/15/2007	10/1/2011
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	11/15/2007	10/1/2011
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	11/15/2007	10/1/2011
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	11/15/2007	10/1/2011
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	11/15/2007	10/1/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/2/1996	9/8/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/2/1996	9/8/1998
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	10/30/1997	7/1/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	6/20/2008	10/1/2011
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	6/20/2008	10/1/2011
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	2/2/2001	7/1/2004
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	2/2/2001	7/1/2004
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Variable Life and Variable Annuities	6/18/2001	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First United Bancorp Inc.	400766	Agent - Credit Life & Health	6/29/1999	4/4/2000
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Life	8/15/2007	10/1/2011
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Health	8/15/2007	10/1/2011
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Variable Life and Variable Annuities	8/15/2007	10/1/2011