Individual Information

NANCY EVELYN ELLIS

SIMI VALLEY, CA 93065-0912

Active

contracting@laaminc.com

04/12/2004

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	186767	04/12/2004	Active	04/12/2004	04/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Health	04/12/2004	Active	04/12/2004
Life	04/12/2004	Active	04/12/2004

Company Name	Appointment Type	Status	Active Date
43
AMERICAN GENERAL LIFE INSURANCE COMPANY	Health	Active	03/14/2005
	Life	Active	03/14/2005
275
Company Name	Appointment Type	Status	Active Date
GERBER LIFE INSURANCE COMPANY	Health	Active	09/22/2017
	Life	Active	09/22/2017
372
Company Name	Appointment Type	Status	Active Date
LIFE INSURANCE COMPANY OF THE SOUTHWEST	Health	Active	10/31/2006
	Life	Active	10/31/2006
449
Company Name	Appointment Type	Status	Active Date
NATIONAL LIFE INSURANCE COMPANY	Health	Active	01/05/2007
	Life	Active	01/05/2007
457
Company Name	Appointment Type	Status	Active Date
NATIONAL WESTERN LIFE INSURANCE COMPANY	Life	Active	09/04/2009
473
Company Name	Appointment Type	Status	Active Date
NORTH AMERICAN COMPANY FOR LIFE & HEALTH INSURANCE	Life	Active	08/19/2019
890
Company Name	Appointment Type	Status	Active Date
TRANSAMERICA LIFE INSURANCE COMPANY	Health	Active	05/21/2014
	Life	Active	05/21/2014
672
Company Name	Appointment Type	Status	Active Date
UNITED OF OMAHA LIFE INSURANCE COMPANY	Health	Active	03/15/2016
	Life	Active	03/15/2016

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
LEAD MASTERS INSURANCE MARKETING & FINANCIAL NETWORK INC	Designated Resp Lic Prdcr	Agency	11/18/2020	-

1 - 1