Agency Information

CREST RISK MANAGEMENT LLC

255 GLENVILLE RD

GREENWICH, CT 06831

203-622-6006

pfaranova@belpointe.com

18809766

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3986213	02/28/2024	Active	02/28/2024	02/28/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	02/28/2024	Active	02/28/2024
Life	02/28/2024	Active	02/28/2024

Company Name	Appointment Type	Status	Active Date
442
NATIONAL GUARDIAN LIFE INSURANCE COMPANY	Health	Active	03/26/2024

row(s) 1 - 1 of 1

Name	Association Type	Agent	Begin Date	End Date
MARK A VAN VOORHEES	Designated Resp Lic Prdcr	No	02/28/2024	-

1 - 1