DEPARTMENT OF INSURANCE

Affiliations

Name	Edmonton Bancshares Inc.	DOIID	398355	NAIC NPN	7220829

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	8/7/2000		3/31/2027
Active	Resident	Agent	Life	2/25/1999		3/31/2027
Active	Resident	Agent	Health	2/25/1999		3/31/2027
Inactive	Resident	Agent	Credit Life & Health	2/25/1999	8/7/2000
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	2/25/1999	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	2/25/1999	12/21/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/25/1999	12/21/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	12/21/2016
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	10/30/2018
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	10/30/2018
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/30/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baker, Pauline Morse	325295	Agent - Limited Line Credit	8/9/2011	1/6/2017
Active	Bartley, Donna Gail	306634	Agent - Limited Line Credit	8/9/2011
Inactive	Constant, Jeffrey Dale	367381	Agent - Limited Line Credit	8/9/2011	5/7/2019
Active	Garmon, Gary E	542565	Agent - Limited Line Credit	8/9/2011
Inactive	Garrett, Howard D	341374	Agent - Limited Line Credit	8/9/2011	9/30/2017
Inactive	Gentry, Andrea Lynn	542568	Agent - Limited Line Credit	8/9/2011	10/31/2017
Inactive	Gerughty, John Rush	542561	Agent - Limited Line Credit	8/9/2011	2/29/2020
Inactive	High, Anthony Wayne	332495	Agent - Limited Line Credit	8/9/2011	11/30/2020
Inactive	Jackson, Tommy	359605	Agent - Limited Line Credit	8/9/2011	8/31/2016
Inactive	Jessee, Dello Ray	304493	Agent - Credit Life & Health	2/25/1999	2/21/1996
Inactive	Jessee, Dello Ray	304493	Agent - Health	2/25/1999	6/1/2011
Inactive	Jessee, Dello Ray	304493	Agent - Life	2/25/1999	6/1/2011
Active	Johnson, Daniel Brent	618887	Agent - Limited Line Credit	8/9/2011
Active	Parke, Tommy Jackson	376606	Agent - Health	8/10/2011
Active	Parke, Tommy Jackson	376606	Agent - Life	8/10/2011
Active	Parke, Tommy Jackson	376606	Agent - Limited Line Credit	8/10/2011
Inactive	Scroggy, Jean B	311322	Agent - Limited Line Credit	8/9/2011	3/31/2017
Inactive	Tabor, Jeremy Adam	307547	Agent - Limited Line Credit	8/9/2011	10/31/2021
Inactive	Thompson, David William	384172	Agent - Limited Line Credit	5/13/2002	2/29/2020
Inactive	Thompson, John David	319767	Agent - Limited Line Credit	8/9/2011	11/30/2012