Agency Information

THE ANNUITY MAN

520 HONEY LOCUST LANE

PONTE VEDRA BEACH, FL 32082

800-509-6473

leah@theannuityman.com

19387405

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3516747	01/28/2020	Active	01/28/2020	01/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Life	01/28/2020	Active	01/28/2020

Company Name	Appointment Type	Status	Active Date
1670
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY	Life	Active	07/19/2023
153630
Company Name	Appointment Type	Status	Active Date
AMERICAN LIFE & SECURITY CORP	Life	Active	05/26/2022
146762
Company Name	Appointment Type	Status	Active Date
ATLANTIC COAST LIFE INSURANCE COMPANY	Life	Active	02/06/2023
1320
Company Name	Appointment Type	Status	Active Date
CLEAR SPRING LIFE AND ANNUITY COMPANY	Life	Active	03/04/2022
193
Company Name	Appointment Type	Status	Active Date
EQUITRUST LIFE INSURANCE COMPANY	Life	Active	04/09/2024
166731
Company Name	Appointment Type	Status	Active Date
FARMERS LIFE INSURANCE COMPANY	Life	Active	02/07/2023
1036
Company Name	Appointment Type	Status	Active Date
INTEGRITY LIFE INSURANCE COMPANY	Life	Active	02/12/2020
396
Company Name	Appointment Type	Status	Active Date
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY	Life	Active	10/03/2022
410
Company Name	Appointment Type	Status	Active Date
MIDLAND NATIONAL LIFE INSURANCE COMPANY	Life	Active	06/21/2022
459
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE INSURANCE COMPANY	Life	Active	08/04/2022
577
Company Name	Appointment Type	Status	Active Date
ROYAL NEIGHBORS OF AMERICA	Life	Active	02/22/2024
41
Company Name	Appointment Type	Status	Active Date
SAGICOR LIFE INSURANCE COMPANY	Life	Active	12/06/2021
596
Company Name	Appointment Type	Status	Active Date
SENTINEL SECURITY LIFE INSURANCE COMPANY	Life	Active	03/26/2023

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Name	Association Type	Agent	Begin Date	End Date
STAN GARRISON HAITHCOCK	Designated Resp Lic Prdcr	Yes	02/12/2021	-

1 - 1