Type	Issue Date	Qualifying Appointment
LIFE INCL VARIABLE ANNUITY (0214)	1/25/2005	YES
GENERAL LINES (PROP & CAS) (0220)	6/1/2009	YES

Company Name	Issue Date	Exp Date
AUTO-OWNERS LIFE INSURANCE COMPANY	9/19/2022	12/31/2026

Company Name	Issue Date	Exp Date
ASI ASSURANCE CORP.	9/17/2020	12/31/2026
SECURITY NATIONAL INSURANCE COMPANY	3/15/2022	12/31/2026
HARTFORD ACCIDENT AND INDEMNITY COMPANY	9/6/2023	12/31/2025
EMPLOYERS ASSURANCE COMPANY	12/8/2009	12/31/2025
EMPLOYERS PREFERRED INSURANCE COMPANY	12/8/2009	12/31/2025
EMPLOYERS COMPENSATION INSURANCE COMPANY	12/8/2009	12/31/2025
NATIONWIDE MUTUAL INSURANCE COMPANY	6/10/2016	12/31/2026
CASTLE KEY INDEMNITY COMPANY	7/12/2019	12/31/2025
ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY	7/12/2019	12/31/2025
ALLSTATE INSURANCE COMPANY	7/12/2019	12/31/2025
ALLSTATE INDEMNITY COMPANY	7/12/2019	12/31/2025
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY	7/12/2019	12/31/2025
CASTLE KEY INSURANCE COMPANY	7/12/2019	12/31/2025
ALLIED PROPERTY & CASUALTY INSURANCE COMPANY	7/10/2015	12/31/2025
DEPOSITORS INSURANCE COMPANY	7/10/2015	12/31/2025
NATIONWIDE INSURANCE COMPANY OF FLORIDA	7/10/2015	12/31/2025
FARMERS PROPERTY AND CASUALTY INSURANCE CO	2/20/2025	12/31/2027
FARMERS CASUALTY INSURANCE COMPANY	2/20/2025	12/31/2027
CITIZENS PROPERTY INSURANCE CORPORATION	3/22/2022	12/31/2026
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN	3/15/2022	12/31/2026
NATIONWIDE AFFINITY INSURANCE COMPANY OF AMERICA	11/8/2021	12/31/2025
HARTFORD INSURANCE COMPANY OF THE SOUTHEAST	10/16/2023	12/31/2025

Company Name	Issue Date	Exp Date
AMERICAN STRATEGIC INSURANCE CORP.	9/17/2020	12/31/2026

Type	Issue Date	Status
CUSTOMER REPRESENTATIVE (0440)	10/28/2004	INVALID

Company Name	Issue Date	Exp Date	Status Date
NATIONWIDE LIFE AND ANNUITY INSURANCE COMPANY	8/3/2016	12/31/2022	11/28/2022
NATIONWIDE LIFE INSURANCE COMPANY	8/2/2016	12/31/2022	11/28/2022
STATE FARM LIFE INSURANCE COMPANY	2/8/2008	12/31/2010	10/8/2009
AETNA LIFE INSURANCE COMPANY	5/5/2011	12/31/2013	2/15/2013

Company Name	Issue Date	Exp Date	Status Date
NATIONWIDE LIFE INSURANCE COMPANY	5/20/2016	12/31/2022	11/28/2022
NATIONWIDE LIFE AND ANNUITY INSURANCE COMPANY	5/23/2016	12/31/2018	8/8/2016

Company Name	Issue Date	Exp Date	Status Date
TIME INSURANCE COMPANY	6/18/2005	12/31/2009	10/8/2009

Company Name	Issue Date	Exp Date	Status Date
NATIONWIDE GENERAL INSURANCE COMPANY	3/18/2019	12/31/2023	10/2/2023
ALLIED PROPERTY & CASUALTY INSURANCE COMPANY	3/19/2012	12/31/2014	2/8/2013
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN	11/20/2009	12/31/2019	10/21/2019
SECURITY NATIONAL INSURANCE COMPANY	11/19/2009	12/31/2019	10/21/2019
GEICO MARINE INSURANCE COMPANY	12/11/2017	12/31/2021	5/26/2021
NATIONWIDE ASSURANCE COMPANY	3/18/2019	12/31/2023	10/3/2023
NATIONWIDE PROPERTY AND CASUALTY INSURANCE COMPANY	6/1/2019	12/31/2023	10/2/2023
STATE FARM FIRE AND CASUALTY COMPANY	7/13/2009	12/31/2011	10/8/2009
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY	7/13/2009	12/31/2011	10/8/2009
STATE FARM FLORIDA INSURANCE COMPANY	7/13/2009	12/31/2011	10/8/2009
ENCOMPASS INDEMNITY COMPANY	11/3/2010	12/31/2014	5/8/2014
ENCOMPASS FLORIDIAN INSURANCE COMPANY	11/3/2010	12/31/2014	5/8/2014
ENCOMPASS FLORIDIAN INDEMNITY COMPANY	11/3/2010	12/31/2014	5/8/2014
MERCURY INDEMNITY COMPANY OF AMERICA	2/28/2011	12/31/2013	12/16/2013
DEPOSITORS INSURANCE COMPANY	3/19/2012	12/31/2014	2/8/2013
NATIONWIDE MUTUAL INSURANCE COMPANY	3/19/2012	12/31/2014	2/8/2013
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY	3/19/2012	12/31/2014	2/8/2013
NATIONWIDE PROPERTY AND CASUALTY INSURANCE COMPANY	3/19/2012	12/31/2014	2/8/2013
NATIONWIDE INSURANCE COMPANY OF FLORIDA	3/19/2012	12/31/2014	2/8/2013
NATIONWIDE INSURANCE COMPANY OF AMERICA	3/19/2012	12/31/2014	2/8/2013
INTEGON NATIONAL INSURANCE COMPANY	7/28/2010	12/31/2014	12/19/2014
INTEGON INDEMNITY CORPORATION	7/28/2010	12/31/2012	10/24/2012
NATIONWIDE INSURANCE COMPANY OF AMERICA	7/10/2015	12/31/2023	10/2/2023
ALLIED INSURANCE COMPANY OF AMERICA	7/10/2015	12/31/2023	10/2/2023
FARMERS PROPERTY AND CASUALTY INSURANCE CO	3/16/2022	12/31/2024	5/13/2024
FARMERS CASUALTY INSURANCE COMPANY	3/16/2022	12/31/2024	5/13/2024

Company Name	Issue Date	Exp Date	Status Date
RICHTERKESSING, DWIGHT BRUCE	11/10/2004	12/31/2006	2/24/2005
JIM LYONS INSURANCE AGENCY INC	6/14/2005	12/31/2009	3/2/2009
PATRIOT INSURANCE AGENCY LLC	4/30/2009	12/31/2011	6/2/2009