Individual Information

PETER A CONNOLLY

HENDERSON, NV 89052-5505

Active

pete@theconnollyretirementgroup.com

10/23/1992

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	34699	10/01/2001	Active	10/01/2001	10/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Var. Annuities/Var. Life	10/01/2001	Active	10/01/2001
Casualty	10/13/1999	Inactive	10/01/2001
Health	10/23/1992	Inactive	10/01/2001
Life	10/23/1992	Inactive	10/01/2001
Property	10/13/1999	Inactive	10/01/2001
Var. Annuities/Var. Life	03/19/1993	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
476
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA	Life	Active	06/03/2020
	Var. Annuities/Var. Life	Active	06/03/2020
63
Company Name	Appointment Type	Status	Active Date
AMERICAN NATIONAL INSURANCE COMPANY	Life	Active	10/02/2018
283
Company Name	Appointment Type	Status	Active Date
BANNER LIFE INSURANCE COMPANY	Life	Active	09/27/2018
239
Company Name	Appointment Type	Status	Active Date
FIDELITY & GUARANTY LIFE INSURANCE COMPANY	Life	Active	09/24/2024
372
Company Name	Appointment Type	Status	Active Date
LIFE INSURANCE COMPANY OF THE SOUTHWEST	Life	Active	02/05/2020
410
Company Name	Appointment Type	Status	Active Date
MIDLAND NATIONAL LIFE INSURANCE COMPANY	Life	Active	10/01/2011
	Var. Annuities/Var. Life	Active	10/01/2011
473
Company Name	Appointment Type	Status	Active Date
NORTH AMERICAN COMPANY FOR LIFE & HEALTH INSURANCE	Life	Active	11/16/2010
103
Company Name	Appointment Type	Status	Active Date
PRINCIPAL LIFE INSURANCE COMPANY	Health	Active	08/23/2004
	Life	Active	08/23/2004
589
Company Name	Appointment Type	Status	Active Date
SECURITY BENEFIT LIFE INSURANCE COMPANY	Life	Active	06/21/2013
1059
Company Name	Appointment Type	Status	Active Date
STATE LIFE INSURANCE COMPANY	Health	Active	01/08/2018
	Life	Active	01/08/2018
580
Company Name	Appointment Type	Status	Active Date
SYMETRA LIFE INSURANCE COMPANY	Health	Active	02/06/2025
	Life	Active	02/06/2025
	Var. Annuities/Var. Life	Active	02/06/2025

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Organization	Association Type	Type	Beg dte	End dte
THE CONNOLLY RETIREMENT GROUP, L.L.C.	Designated Resp Lic Prdcr	Agency	03/31/2021	-

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