DEPARTMENT OF INSURANCE

Affiliations

Name	Magnolia Bank	DOIID	399064	NAIC NPN	7221359

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	5/22/1986	8/7/2000
Inactive	Resident	Agent	Mortgage Redemption	5/22/1986	8/7/2000
Pending Replacement	Resident	Agent	Limited Line Credit	6/8/2023		3/31/2027
* 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	01/15/2025	03/31/2025	03/10/2025	03/10/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Limited Line Credit	6/30/2006	9/26/2011
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Mortgage Redemption	4/16/1997	12/31/1998
Inactive	Liberty Life Insurance Company	301542	Agent - Limited Line Credit	8/7/2000	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Mortgage Redemption	10/16/1990	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/16/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	6/18/2015	3/31/2023
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	5/22/1986	9/16/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Mortgage Redemption	5/22/1986	9/16/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adams, Kenneth Douglas	302202	Agent - Limited Line Credit	6/23/2015	7/31/2021
Inactive	Chenault, Jonathan Adam	806141	Agent - Limited Line Credit	8/6/2019	3/31/2023
Inactive	Cruse, Deborah Lynn	334421	Agent - Credit Life & Health	6/27/1989	8/7/2000
Inactive	Cruse, Deborah Lynn	334421	Agent - Limited Line Credit	8/7/2000	12/31/2009
Inactive	Cruse, Deborah Lynn	334421	Agent - Mortgage Redemption	6/27/1989	8/7/2000
Inactive	Davis, Hardin Young	392422	Agent - Limited Line Credit	6/8/2023	3/10/2025
Inactive	Davis, Teleana Grace	575211	Agent - Limited Line Credit	3/7/2017	9/30/2020
Inactive	Hayes, Dustin Dwayne	828817	Agent - Limited Line Credit	1/16/2019	2/28/2021
Inactive	Heady, Amanda Lyn	552345	Agent - Limited Line Credit	1/16/2019	3/31/2023
Inactive	Highbaugh, Nathan Ray	813986	Agent - Limited Line Credit	6/23/2015	2/28/2022
Inactive	McCubbin, Reggie Lee	386341	Agent - Limited Line Credit	6/23/2015	9/30/2016
Inactive	McCubbin, Reggie Lee	386341	Agent - Mortgage Redemption	3/8/1982	8/7/2000
Inactive	Rock, Daniel Lewis	562277	Agent - Limited Line Credit	1/22/2007	5/5/2009
Inactive	Rock, Kelcey D	694986	Agent - Limited Line Credit	6/23/2015	3/7/2017
Inactive	Salsman, Joyce G	372644	Agent - Credit Life & Health	2/24/1997	8/7/2000
Inactive	Salsman, Joyce G	372644	Agent - Limited Line Credit	8/7/2000	2/10/2003
Inactive	Sanders, Ronald Lee	325049	Agent - Credit Life & Health	4/24/1979	8/7/2000
Inactive	Sanders, Ronald Lee	325049	Agent - Limited Line Credit	8/7/2000	4/30/2006
Inactive	Sanders, Ronald Lee	325049	Agent - Mortgage Redemption	4/24/1979	8/7/2000
Inactive	Schuler, John E	719969	Agent - Limited Line Credit	6/23/2015	3/31/2023
Inactive	Smith, Martha Ann	878989	Agent - Limited Line Credit	6/23/2015	8/31/2020
Inactive	Steen, Brenda May	706315	Agent - Limited Line Credit	7/16/2012	3/31/2015
Inactive	Thomas, Terry Lynn	310894	Agent - Credit Life & Health	4/17/1997	8/7/2000
Inactive	Thomas, Terry Lynn	310894	Agent - Limited Line Credit	8/7/2000	3/31/2015
Inactive	Wilson, Oren Dwight	381619	Agent - Limited Line Credit	1/22/2007	5/5/2009