DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fultz, Gracie Elizabeth	DOIID	360891	NAIC NPN	7196283

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	7/24/2003	3/31/2014
Inactive	Resident	Agent	Life	4/5/1999	11/8/2003
* 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	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	7/24/2003	1/10/2013
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/5/1999	11/8/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Natcity Insurance Services Inc.	400871	Agent - Life	2/21/2003	11/8/2003
Inactive	Transcend Credit Union	602719	Agent - Limited Line Credit	2/7/2005	1/10/2013