Agency Information

TBG INSURANCE SERVICES CORPORATION

3333 MICHELSON DRIVE

IRVINE, CA 92612

310-744-3128

antoinette.harper@empower.com

8704216

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	539343	05/15/2007	Active	05/15/2007	05/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Life	05/15/2007	Active	05/15/2007
Var. Annuities/Var. Life	05/15/2007	Active	05/15/2007

Name	Association Type	Agent	Begin Date	End Date
NANCY HICKEY	Designated Resp Lic Prdcr	Yes	01/12/2021	-

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