Agency Information

ASCENSUS BROKER DEALER SERVICES, LLC

251 LITTLE FALLS DRIVE

WILMINGTON, DE 19808

407-333-2905

licensing@newportgroup.com

20635163

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3898019	05/08/2023	Active	05/08/2023	05/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	05/08/2023	Active	05/08/2023
Life	05/08/2023	Active	05/08/2023
Var. Annuities/Var. Life	05/08/2023	Active	05/08/2023

Company Name	Appointment Type	Status	Active Date
401
METROPOLITAN LIFE INSURANCE COMPANY	Life	Active	12/14/2023
	Var. Annuities/Var. Life	Active	12/14/2023
1168
Company Name	Appointment Type	Status	Active Date
METROPOLITAN TOWER LIFE INSURANCE COMPANY	Life	Active	12/14/2023
	Var. Annuities/Var. Life	Active	12/14/2023
1453
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE AND ANNUITY INSURANCE COMPANY	Health	Active	10/12/2023
	Life	Active	10/12/2023
	Var. Annuities/Var. Life	Active	10/12/2023
459
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE INSURANCE COMPANY	Health	Active	10/12/2023
	Life	Active	10/12/2023
	Var. Annuities/Var. Life	Active	10/12/2023
992
Company Name	Appointment Type	Status	Active Date
NEW YORK LIFE INSURANCE & ANNUITY CORPORATION	Health	Active	09/26/2023
	Life	Active	09/26/2023
	Var. Annuities/Var. Life	Active	09/26/2023

row(s) 1 - 13 of 13

Name	Association Type	Agent	Begin Date	End Date
MICHAEL DOUGLAS SHANNON	Designated Resp Lic Prdcr	No	05/08/2023	-

1 - 1