DEPARTMENT OF INSURANCE

Affiliations

Name	Burmeister, John Fredrick	DOIID	881958	NAIC NPN	8449450

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	6/30/2015	11/30/2024
Active	Non Resident	Agent	Health	6/30/2015	11/30/2024
Active	Non Resident	Agent	Life	6/30/2015	11/30/2024
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

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 - Life	2/26/2021	4/27/2021
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	2/26/2021	4/25/2021
Active	American General Life Insurance Company	301585	Agent - Health	10/30/2015
Active	American General Life Insurance Company	301585	Agent - Life	10/30/2015
Active	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	10/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lion Street Financial LLC	885103	Agent - Life	7/31/2015
Active	Lion Street Financial LLC	885103	Agent - Health	7/31/2015
Active	Lion Street Financial LLC	885103	Agent - Variable Life and Variable Annuities	7/31/2015
Active	Lion Street Insurance Services, LLC	701231	Agent - Life	10/30/2015
Active	Lion Street Insurance Services, LLC	701231	Agent - Health	10/30/2015
Active	Lion Street Insurance Services, LLC	701231	Agent - Variable Life and Variable Annuities	10/30/2015
Active	Lion Street Private Client, LLC	1085641	Agent - Life	6/8/2020
Active	Lion Street Private Client, LLC	1085641	Agent - Health	6/8/2020
Inactive	Mercury Lion Insurance Agency, LLC	738825	Agent - Life	6/29/2022	8/14/2023
Inactive	Mercury Lion Insurance Agency, LLC	738825	Agent - Health	6/29/2022	8/14/2023