DEPARTMENT OF INSURANCE

Name	Fasi Ins Services Inc	DOIID	593073	NAIC NPN	8151900

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	Life	7/26/2004	7/20/2023
Inactive	Non Resident	Agent	Health	7/13/2016	7/20/2023

*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	655 W. Broadway Ste. 1050 San Diego, CA 92101

Internet Information

Type	Address
Internet	www.gbfs.com
Business Email	MAXINE.SIMMS@CETERA.COM

Phone Information

Type	Phone
Business / Home Office	(636) 534-2756