DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stickler, Mary Ann	DOIID	315088	NAIC NPN	7162544

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	9/30/2012
Inactive	Resident	Agent	Property	8/15/2000	9/30/2012
Inactive	Resident	Agent	General Lines	5/10/1982	8/15/2000
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	4/18/1996	7/28/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000	9/30/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	5/10/1982	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	9/30/2012
Inactive	Security National Insurance Company	301151	Agent - General Lines	10/19/1994	12/2/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Stickler & Associates Agency Inc.	398790	Agent - General Lines	2/19/1988	8/15/2000
Inactive	Stickler & Associates Agency Inc.	398790	Agent - Property	8/15/2000	9/30/2012
Inactive	Stickler & Associates Agency Inc.	398790	Agent - Casualty	8/15/2000	9/30/2012