DEPARTMENT OF INSURANCE

Affiliations

Name	Berry III, Theodore Francis	DOIID	640117	NAIC NPN	8267891

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/16/2006	11/30/2007
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	9/16/2006	11/30/2007
* 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	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	10/12/2006	11/30/2007
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	10/12/2006	11/30/2007
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/8/2006	11/30/2007
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	11/8/2006	11/30/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	10/20/2006	11/30/2007
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Variable Life and Variable Annuities	10/20/2006	11/30/2007