DEPARTMENT OF INSURANCE

Name	State Street Brokerage, Inc.	DOIID	583381	NAIC NPN	7704138

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	3/3/2004	3/31/2006
Inactive	Non Resident	Agent	Life	3/3/2004	3/31/2006

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	10 N Martingale Rd 4th FL Schaumburg, IL 60173

Internet Information

Type	Address
Business Email	gsloan@flash.net

Phone Information

Type	Phone
Business / Home Office	(847) 466-1034