Individual Information

JEROME F CLEMENT

Address:

ALBANY, NY 12208-1023

Status:

Active

Email:

lwalsh@pksinvest.com

Date:

06/12/2012

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	83947	03/08/2002	Active	06/12/2012	06/30/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	03/10/2021	Active	03/10/2021
Health	03/08/2002	Active	06/12/2012
Life	03/08/2002	Active	06/12/2012
Property	03/10/2021	Active	03/10/2021
Var. Annuities/Var. Life	03/08/2002	Active	07/11/2014
Health	03/08/2002	Inactive	03/08/2002
Life	03/08/2002	Inactive	03/08/2002
Var. Annuities/Var. Life	03/08/2002	Inactive	03/08/2002

Company Name	Appointment Type	Status	Active Date
43
AMERICAN GENERAL LIFE INSURANCE COMPANY	Health	Active	02/05/2021
	Life	Active	02/05/2021
	Var. Annuities/Var. Life	Active	02/05/2021
1413
Company Name	Appointment Type	Status	Active Date
EMPOWER ANNUITY INSURANCE COMPANY	Life	Active	11/10/2015
	Var. Annuities/Var. Life	Active	11/10/2015
556
Company Name	Appointment Type	Status	Active Date
PRUDENTIAL INSURANCE COMPANY OF AMERICA	Life	Active	11/10/2015
	Var. Annuities/Var. Life	Active	11/10/2015

row(s) 1 - 7 of 7

Organization	Association Type	Type	Beg dte	End dte
WENTWORTH FINANCIAL PARTNERS LLC	Designated Resp Lic Prdcr	Agency	03/15/2021	-
PURSHE KAPLAN STERLING INVESTMENTS	Designated Resp Lic Prdcr	Agency	03/31/2020	-
PKS FINANCIAL SERVICES INC	Designated Resp Lic Prdcr	Agency	03/31/2020	-
CABOT LODGE SECURITIES LLC	Designated Resp Lic Prdcr	Agency	10/18/2021	-

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