DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roark, Kimberly Ann	DOIID	352548	NAIC NPN	7192599

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	7/12/2017	4/30/2021
Inactive	Resident	Agent	Credit Life & Health	9/24/1998	8/7/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	4/22/2002	11/10/2006
Inactive	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	7/20/2017	4/30/2021
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/24/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	7/20/2017	4/30/2021
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Limited Line Credit	3/21/2012	4/30/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers National Bank	400893	Agent - Limited Line Credit	3/31/2003	4/30/2009