black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BREEZE FMO LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN430680
Status:
First Licensure:
09/17/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1659 LEAF FLOWER LN
LUTZ, FL 33558-2339
Mailing:
1659 LEAF FLOWER LN
LUTZ, FL 33558-2339
Phone:
+1 (813) 420-8621
Fax:
+1 (256) 223-2323
Email:
clint@breeze-tek.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/17/2022 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN NATIONAL INSURANCE COMPANY
12/01/2022 LHF11 07/28/2023
PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY
12/15/2022 LHF789 03/19/2026
PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY
03/24/2026 LHF789
TIER ONE INSURANCE COMPANY
01/03/2023 LHF952

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
KEVIN EUGENE BURTON
09/17/2022 PRN400281

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
KEVIN EUGENE BURTON PRN400281

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20321901

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: 06/01/2026 04:15:56 AM