DEPARTMENT OF INSURANCE

Affiliations

Name	Adcock, Charlotte	DOIID	669760	NAIC NPN	8233978

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/5/2007	9/30/2011
Inactive	Non Resident	Agent	Health	12/5/2007	9/30/2011
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	12/5/2007	9/30/2011
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	7/31/2009	9/30/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/31/2009	9/30/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	7/31/2009	9/30/2011
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	5/12/2009	9/30/2011
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	5/12/2009	9/30/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/24/2009	9/30/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	12/24/2007	5/6/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	5/12/2009	9/30/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/12/2009	9/30/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	5/12/2009	9/30/2011
Inactive	Prudential Insurance Company of America	300784	Agent - Health	5/12/2009	9/30/2011
Inactive	Prudential Insurance Company of America	300784	Agent - Life	5/12/2009	9/30/2011
Inactive	Prudential Insurance Company of America	300784	Agent - Variable Life and Variable Annuities	5/12/2009	9/30/2011
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Health	12/13/2007	5/1/2009
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Life	12/13/2007	5/1/2009
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Variable Life and Variable Annuities	12/13/2007	5/1/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/19/2007	9/30/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	12/19/2007	9/30/2011
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/19/2007	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Variable Life and Variable Annuities	12/19/2007	10/1/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Health	12/20/2007	5/5/2009
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Life	12/20/2007	9/30/2011
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Variable Life and Variable Annuities	12/20/2007	9/30/2011