DEPARTMENT OF INSURANCE

Name	Criscillis Sr., Gary Monroe	DOIID	359609	NAIC NPN	1893057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	8/2/1990	8/15/2000
Pending Replacement	Resident	Agent	Property	12/30/2019		11/30/2025
Pending Replacement	Resident	Agent	Casualty	12/30/2019		11/30/2025
Pending Replacement	Resident	Agent	Limited Line Credit	8/22/2006		11/30/2025
Pending Replacement	Resident	Managing General Agent	Not Applicable	12/30/2019		11/30/2025
Inactive	Resident	Surplus Lines Broker	Not Applicable	12/30/2019	11/23/2023

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025
Managing General Agent	09/15/2025	11/30/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Mailing	Lenders Service Corp 13121 Eastpoint Park Blvd # CLouisville, KY 40223
Business / Home Office	Lenders Service Corp 13121 Eastpoint Park Blvd # CLouisville, KY 40223

Internet Information

Type	Address
Business Email	customerservice@lscinsurance.com

Phone Information

Type	Phone
Business / Home Office	(502) 245-1300