Individual Information

STEPHANIE ADAMS

HOLDEN, MA 01520-2548

Active

sadams@ipgltd.com

09/19/2018

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3375970	09/19/2018	Active	09/19/2018	09/30/2024

Qualification Type	Original Issue Date	Status	Effective Date
Health	09/19/2018	Active	09/19/2018
Life	09/19/2018	Active	09/19/2018
Var. Annuities/Var. Life	09/19/2018	Active	09/19/2018

Company Name	Appointment Type	Status	Active Date
817
PRUCO LIFE INSURANCE COMPANY	Life	Active	09/26/2018
	Var. Annuities/Var. Life	Active	09/26/2018

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
Charles Monat Associates LLC	Designated Resp Lic Prdcr	Agency	03/31/2020	-

1 - 1