Individual Information

NICK STAHL

Address:

BEND, OR 97701-6402

Status:

Active

Email:

nick.familyfirstlife@gmail.com

Date:

05/11/2020

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3215602	01/19/2017	Active	05/11/2020	05/31/2023

Qualification Type	Original Issue Date	Status	Effective Date
Life	01/19/2017	Active	05/11/2020
Health	01/19/2017	Inactive	02/01/2020
Limited Fixed Annuities	01/19/2017	Inactive	01/19/2017

Company Name	Appointment Type	Status	Active Date
239
FIDELITY & GUARANTY LIFE INSURANCE COMPANY	Life	Active	01/20/2021
589
Company Name	Appointment Type	Status	Active Date
SECURITY BENEFIT LIFE INSURANCE COMPANY	Life	Active	05/11/2020

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
BAHATI INCORPORATED	Designated Resp Lic Prdcr	Agency	05/14/2020	-

1 - 1