Individual Information

LAWRENCE J RYBKA

AKRON, OH 44333-2489

Active

licensing@valmarkfg.com

09/19/1995

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	43934	10/01/2001	Active	10/01/2001	09/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Var. Annuities/Var. Life	10/01/2001	Active	10/01/2001
Health	09/19/1995	Inactive	10/01/2001
Life	09/19/1995	Inactive	10/01/2001
Var. Annuities/Var. Life	09/19/1995	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
378
LINCOLN NATIONAL LIFE INSURANCE COMPANY	Health	Active	01/10/1999
	Life	Active	01/10/1999
396
Company Name	Appointment Type	Status	Active Date
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY	Life	Active	08/25/2021
415
Company Name	Appointment Type	Status	Active Date
MINNESOTA LIFE INSURANCE COMPANY	Health	Active	09/19/1995
	Life	Active	09/19/1995
	Var. Annuities/Var. Life	Active	09/19/1995
992
Company Name	Appointment Type	Status	Active Date
NEW YORK LIFE INSURANCE & ANNUITY CORPORATION	Health	Active	07/05/2021
	Life	Active	07/05/2021
	Var. Annuities/Var. Life	Active	07/05/2021
468
Company Name	Appointment Type	Status	Active Date
NEW YORK LIFE INSURANCE COMPANY	Health	Active	07/05/2021
	Life	Active	07/05/2021
	Var. Annuities/Var. Life	Active	07/05/2021
817
Company Name	Appointment Type	Status	Active Date
PRUCO LIFE INSURANCE COMPANY	Life	Active	07/21/2021
	Var. Annuities/Var. Life	Active	07/21/2021

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
EXECUTIVE INSURANCE AGENCY INC	Designated Resp Lic Prdcr	Agency	09/15/2020	-
VALMARK SECURITIES INC	Designated Resp Lic Prdcr	Agency	02/15/2021	-

1 - 2