DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bolton Farris, Kelly Marie	DOIID	1111221	NAIC NPN	19715049

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	11/24/2020		7/31/2024
Active	Resident	Agent	Property	11/24/2020		7/31/2024
* 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	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/25/2020	10/12/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/25/2020	10/12/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atlas Ins Agcy Inc	523813	Agent - Casualty	2/22/2021	10/12/2022
Inactive	Atlas Ins Agcy Inc	523813	Agent - Property	2/22/2021	10/12/2022