DEPARTMENT OF INSURANCE

Affiliations

Name	Grande Sr, Peter Anthony	DOIID	535982	NAIC NPN	2160736

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	11/2/2001	12/31/2004
Inactive	Non Resident	Agent	Health	11/2/2001	12/31/2004
Inactive	Non Resident	Agent	Casualty	11/2/2001	12/31/2004
Inactive	Non Resident	Agent	Property	11/2/2001	12/31/2004
Inactive	Non Resident	Agent	Life	11/2/2001	12/31/2004
* 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	Nassau Life Insurance Company	301406	Agent - Life	1/30/2004	12/31/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Variable Life and Variable Annuities	11/2/2001	4/23/2003
Inactive	PHL Variable Insurance Company	300525	Agent - Life	1/30/2004	12/31/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Variable Life and Variable Annuities	1/30/2004	12/31/2004
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	11/2/2001	12/31/2004
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	11/2/2001	12/31/2004
Inactive	State Farm Life Insurance Company	301810	Agent - Life	11/2/2001	12/31/2004
Inactive	State Farm Life Insurance Company	301810	Agent - Variable Life and Variable Annuities	1/31/2002	12/31/2004
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/2/2001	12/31/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Placement Services Inc.	519096	Agent - Life	5/31/2002	12/31/2004
Inactive	Insurance Placement Services Inc.	519096	Agent - Variable Life and Variable Annuities	11/2/2001	12/31/2004
Inactive	Insurance Placement Services Inc.	519096	Agent - Health	2/25/2004	12/31/2004
Inactive	Insurance Placement Services Inc.	519096	Agent - Property	6/6/2002	12/31/2004
Inactive	Insurance Placement Services Inc.	519096	Agent - Casualty	6/6/2002	12/31/2004