DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirkpatrick, Stacey	DOIID	1030921	NAIC NPN	19058965

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/5/2019		6/30/2024
Active	Non Resident	Agent	Property	3/5/2019		6/30/2024
* 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	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/6/2019	10/6/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/6/2019	10/6/2022
Inactive	National General Insurance Company	300152	Agent - Casualty	3/6/2019	2/15/2023
Inactive	National General Insurance Company	300152	Agent - Property	3/6/2019	2/15/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	3/18/2019	11/30/2022
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	3/18/2019	11/30/2022
Inactive	CWI, LLC	662170	Agent - Property	3/18/2019	11/30/2022
Inactive	CWI, LLC	662170	Agent - Casualty	3/18/2019	11/30/2022
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	3/18/2019	11/30/2022
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	3/18/2019	11/30/2022
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	9/18/2020	11/30/2022
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	9/18/2020	11/30/2022
Inactive	National General Ins Marketing Inc	621228	Agent - Property	3/18/2019	11/30/2022
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	3/18/2019	11/30/2022