DEPARTMENT OF INSURANCE

Affiliations

Name	Wells Fargo Bank N A	DOIID	597644	NAIC NPN	2748039

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/9/2004	8/29/2017
Inactive	Non Resident	Agent	Health	11/9/2004	8/29/2017
Inactive	Non Resident	Agent	Property	11/9/2004	8/29/2017
Inactive	Non Resident	Agent	Casualty	11/9/2004	8/29/2017
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	12/1/2004	5/9/2006
Inactive	21st Century North America Insurance Company	300884	Agent - Property	12/1/2004	5/9/2006
Inactive	ACE American Insurance Company	300625	Agent - Health	8/18/2006	9/24/2014
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	5/10/2011	12/16/2016
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	5/10/2011	12/16/2016
Inactive	American General Life Insurance Company	301585	Agent - Health	9/20/2007	2/3/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	9/20/2007	2/3/2013
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	6/12/2009	9/4/2012
Inactive	Bestow Life Insurance Company	300577	Agent - Life	10/7/2009	8/29/2017
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	1/5/2006	10/21/2016
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	1/5/2006	10/21/2016
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	1/5/2006	10/21/2016
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	5/17/2010	8/29/2017
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	11/23/2004	8/29/2017
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	11/23/2004	8/29/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/11/2007	8/29/2017
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	10/12/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	11/22/2005	10/1/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	11/22/2005	10/1/2015
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Casualty	3/15/2007	8/29/2017
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Property	3/15/2007	8/29/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/14/2009	8/29/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/14/2009	8/29/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/22/2005	8/29/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/22/2005	8/29/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/11/2007	8/29/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/11/2007	8/29/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Biessener Duncan, Maria	884365	Agent - Casualty	5/16/2016	6/21/2016
Inactive	Biessener Duncan, Maria	884365	Agent - Property	5/16/2016	6/21/2016
Inactive	Carlson, Julia	821789	Agent - Casualty	6/17/2014	8/29/2017
Inactive	Carlson, Julia	821789	Agent - Health	5/18/2015	8/29/2017
Inactive	Carlson, Julia	821789	Agent - Life	5/18/2015	8/29/2017
Inactive	Carlson, Julia	821789	Agent - Property	6/17/2014	8/29/2017
Inactive	Conlow, Brent Randolph	311991	Agent - Casualty	5/16/2016	8/29/2017
Inactive	Conlow, Brent Randolph	311991	Agent - Health	5/16/2016	8/29/2017
Inactive	Conlow, Brent Randolph	311991	Agent - Life	5/16/2016	8/29/2017
Inactive	Conlow, Brent Randolph	311991	Agent - Property	5/16/2016	8/29/2017
Inactive	Dudacek, Robert Joseph	652606	Agent - Casualty	8/23/2007	9/17/2013
Inactive	Dudacek, Robert Joseph	652606	Agent - Health	8/15/2007	9/17/2013
Inactive	Dudacek, Robert Joseph	652606	Agent - Life	8/15/2007	9/17/2013
Inactive	Dudacek, Robert Joseph	652606	Agent - Property	8/23/2007	9/17/2013
Inactive	Franske, David Michael	367883	Agent - Casualty	9/24/2013	6/11/2014
Inactive	Franske, David Michael	367883	Agent - Health	11/9/2004	1/28/2014
Inactive	Franske, David Michael	367883	Agent - Life	11/9/2004	1/28/2014
Inactive	Franske, David Michael	367883	Agent - Property	9/24/2013	6/11/2014
Inactive	Larson, Deborah M	318137	Agent - Casualty	6/17/2014	3/8/2016
Inactive	Larson, Deborah M	318137	Agent - Health	4/30/2015	3/8/2016
Inactive	Larson, Deborah M	318137	Agent - Life	4/30/2015	3/8/2016
Inactive	Larson, Deborah M	318137	Agent - Property	6/17/2014	3/8/2016
Inactive	Zickert, Ronald Wendell	552716	Agent - Casualty	11/9/2004	5/26/2011
Inactive	Zickert, Ronald Wendell	552716	Agent - Health	11/9/2004	5/14/2015
Inactive	Zickert, Ronald Wendell	552716	Agent - Life	11/9/2004	5/14/2015
Inactive	Zickert, Ronald Wendell	552716	Agent - Property	11/9/2004	5/26/2011