black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ANNUITY.COM

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN486684
Status:
First Licensure:
06/14/2024
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2936 E BLUE SAGE RD
GILBERT, AZ 85297-6005
Mailing:
2936 E BLUE SAGE RD
GILBERT, AZ 85297-6005
Phone:
+1 (801) 899-5363
Fax:
+1 (480) 870-4001
Email:
brett.blake@annuity.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/14/2024 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY
06/06/2025 LHF62908

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
BRETT A. BLAKE
06/14/2024 PRN486501

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
BRETT A. BLAKE PRN486501

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21086345

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/06/2025 05:12:49 PM