DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Puchalski, Sharon E	DOIID	509728	NAIC NPN	7095941

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	5/11/2000	8/31/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	835488	Administrator - Not Applicable	3/7/2014	8/31/2015
Inactive	American General Life Insurance Company of Delaware (TPA)	742555	Administrator - Not Applicable	12/20/2010	3/31/2014
Inactive	Broadspire Services, Inc.	396187	Administrator - Not Applicable	5/11/2000	1/15/2015