Agency Information

CRASH PROOF RETIREMENT LLC

2056 VISTA PARKWAY

WEST PALM BEACH, FL 33411

610-783-7750

mlewis@crashproofretirement.com

17960250

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3914520	07/05/2023	Active	07/05/2023	07/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	07/05/2023	Active	07/05/2023
Life	07/05/2023	Active	07/05/2023

Company Name	Appointment Type	Status	Active Date
193
EQUITRUST LIFE INSURANCE COMPANY	Life	Active	10/03/2023

row(s) 1 - 1 of 1

Name	Association Type	Agent	Begin Date	End Date
JOANN CANNELLA	Designated Resp Lic Prdcr	No	07/05/2023	-
PHILLIP J CANNELLA	Designated Resp Lic Prdcr	No	07/05/2023	-

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