DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Charles Patrick	DOIID	957683	NAIC NPN	3927075

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/15/2021	10/31/2025
Active	Non Resident	Agent	Health	4/15/2021	10/31/2025
Active	Non Resident	Agent	Variable Life and Variable Annuities	4/15/2021	10/31/2025
* 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
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	11/3/2021
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	11/3/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Pending	US Bancorp Investments, Inc.	572662	Agent - Health
Active	US Bancorp Investments, Inc.	572662	Agent - Life	6/20/2024
Active	US Bancorp Investments, Inc.	572662	Agent - Variable Life and Variable Annuities	6/20/2024