DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Michael Bryant	DOIID	518821	NAIC NPN	3659502

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001	4/30/2004
Inactive	Non Resident	Agent	Life	12/4/2000	4/30/2004
Inactive	Non Resident	Agent	Health	12/4/2000	4/30/2004
* 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	First Colony Life Insurance Company	301179	Agent - Life	6/18/2001	4/30/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/10/2001	5/10/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/12/2001	5/10/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	4/9/2001	5/10/2002
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/12/2001	5/10/2002
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	4/9/2001	5/10/2002
Inactive	United American Insurance Company	300910	Agent - Health	12/4/2000	8/16/2002
Inactive	United Investors Life Insurance Company	301873	Agent - Health	12/4/2000	4/30/2004
Inactive	United Investors Life Insurance Company	301873	Agent - Life	12/4/2000	4/30/2004
Inactive	United Investors Life Insurance Company	301873	Agent - Variable Life and Variable Annuities	3/30/2001	4/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	W & R Insurance Agency	398729	Agent - Life	8/9/2001	4/30/2004
Inactive	W & R Insurance Agency	398729	Agent - Health	8/9/2001	4/30/2004
Inactive	W & R Insurance Agency	398729	Agent - Variable Life and Variable Annuities	9/10/2001	4/30/2004