DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stacy, Christopher	DOIID	1038880	NAIC NPN	18985934

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/2/2019		8/31/2026
Active	Non Resident	Agent	Property	5/2/2019		8/31/2026
* 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	06/15/2024	08/31/2024	07/10/2024	07/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	2/22/2024
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/22/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/3/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/3/2019
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/15/2023
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	6/15/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Sales Solutions Inc	631821	Agent - Casualty	5/9/2019
Active	Nationwide Sales Solutions Inc	631821	Agent - Property	5/9/2019