State o f O hio Department o f I nsurance SHELDON S TUART S MITH Is licensed to engage in the business of insurance in the State of Ohio in the capacity stated below. Expiration Date: December 31, 2017 License Number: 961766 National Producer Number: 563608 John R. Kasich, Governor Mary Taylor, Lt. Governor/Director Date of License: May 23, 2012 License Type : Line(s) of Authority : Non-Resident Major Lines Accident & Health, Life Ohio Insurance License Issued By: The Ohio Department of Insurance SHELDON STUART SMITH (National Producer No: 563608) Is hereby licensed to engage in the business of insurance in the State of Ohio in the capacity stated below: John R. Kasich, Governor Mary Taylor, Lt. Governor/Director License Type: Non-Resident Major Lines Accident & Health, Life Line(s) of Authority: License Number: Date of License: Expiration Date: 961766 May 23, 2012 December 31, 2017 SHELDON STUART SMITH 11607 E Caron St Scottsdale, AZ 852595914