DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Capital Resources Corporation	DOIID	401306	NAIC NPN	7223027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	9/13/1996	5/8/2003
Inactive	Resident	Agent	Life	7/1/1996	12/30/2003
Inactive	Resident	Agent	Health	7/1/1996	12/30/2003
* 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	American Equity Investment Life Insurance Company	300389	Agent - Life	1/8/2002	12/30/2003
Inactive	General American Life Insurance Company	300280	Agent - Health	1/27/1997	3/30/1999
Inactive	General American Life Insurance Company	300280	Agent - Life	1/27/1997	3/30/1999
Inactive	General Life Insurance Company	300652	Agent - Life	3/14/1997	10/22/2001
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	6/11/1997	2/7/2001
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	6/11/1997	2/7/2001
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	10/15/1996	5/27/1999
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	10/15/1996	5/27/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	9/30/1996	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	9/30/1996	3/31/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/1/1996	12/30/2003
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/1/1996	12/30/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/10/1997	12/30/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/10/1997	12/30/2003
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Health	6/10/1997	6/26/2000
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Life	6/10/1997	6/26/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Grabhorn, Michael Douglas	366428	Administrator - Not Applicable	9/13/1996	5/8/2003
Inactive	Grabhorn, Michael Douglas	366428	Agent - Health	7/1/1996	12/30/2003
Inactive	Grabhorn, Michael Douglas	366428	Agent - Life	7/1/1996	12/30/2003
Inactive	Grabhorn, Nancy Lee	345046	Agent - Health	7/1/1996	7/28/1999
Inactive	Grabhorn, Nancy Lee	345046	Agent - Life	7/1/1996	7/28/1999