Agency Information

DEMPSEY LORD SMITH LLC

Address:

901 N BROAD ST NE STE 400

ROME, GA 30161-5224

Phone

706-238-9575

URL:

https://www.dempseyi.com

Email:

drew.dempsey@dempseyi.com

National Producer Number:

9169438

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3165682	06/20/2016	Active	06/20/2016	06/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	06/20/2016	Active	06/20/2016
Life	06/20/2016	Active	06/20/2016
Var. Annuities/Var. Life	06/20/2016	Active	06/20/2016

Company Name	Appointment Type	Status	Active Date
476
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA	Life	Active	04/19/2018
	Var. Annuities/Var. Life	Active	04/19/2018
114006
Company Name	Appointment Type	Status	Active Date
EAGLE LIFE INSURANCE COMPANY	Life	Active	10/10/2018
897
Company Name	Appointment Type	Status	Active Date
JACKSON NATIONAL LIFE INSURANCE COMPANY	Life	Active	06/20/2016
	Var. Annuities/Var. Life	Active	06/20/2016

row(s) 1 - 5 of 5

Name	Association Type	Agent	Begin Date	End Date
JOHN H LORD	Designated Resp Lic Prdcr	Yes	07/06/2021	-

1 - 1