Individual Information

KELLY T ULLOM

Address:

LENEXA, KS 66220

Status:

Active

Email:

kelly.ullom@kclife.com

Date:

06/07/1999

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	60368	10/01/2001	Active	10/01/2001	08/31/2027

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	06/07/1999	Inactive	10/01/2001
Life	06/07/1999	Inactive	10/01/2001
Var. Annuities/Var. Life	06/07/1999	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
897
JACKSON NATIONAL LIFE INSURANCE COMPANY	Life	Active	09/01/2015
	Var. Annuities/Var. Life	Active	09/01/2015
356
Company Name	Appointment Type	Status	Active Date
KANSAS CITY LIFE INSURANCE COMPANY	Health	Active	06/07/1999
	Life	Active	06/07/1999
	Var. Annuities/Var. Life	Active	06/07/1999

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Organization	Association Type	Type	Beg dte	End dte
SUNSET FINANCIAL SERVICES INC	Designated Resp Lic Prdcr	Agency	08/16/2020	-

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