DEPARTMENT OF INSURANCE

Affiliations

Name	First Community Bank Of The Heartland, Inc.	DOIID	399685	NAIC NPN	7221841

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Variable Life and Variable Annuities
Inactive	Resident	Agent	General Lines	5/28/1997	8/15/2000
Inactive	Resident	Agent	Mortgage Redemption	9/28/1994	8/7/2000
Inactive	Resident	Agent	Casualty	8/15/2000	5/21/2013
Inactive	Resident	Agent	Life	7/31/2019	3/31/2023
Inactive	Resident	Agent	Property	8/15/2000	5/21/2013
Inactive	Resident	Agent	Health	7/31/2019	3/31/2023
Inactive	Resident	Agent	Credit Life & Health	9/22/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	5/21/2013	3/31/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/15/2000	8/26/2002
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	4/19/1999	8/15/2000
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/15/2000	8/26/2002
Inactive	AIG Assurance Company	300897	Agent - Casualty	9/13/2006	9/24/2010
Inactive	AIG Assurance Company	300897	Agent - Property	9/13/2006	9/24/2010
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	8/15/2000	5/21/2013
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	6/9/1997	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/15/2000	5/21/2013
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	5/21/2013
Inactive	Allstate Insurance Company	300773	Agent - General Lines	5/28/1997	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	5/21/2013
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	5/21/2013
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	5/21/2013
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	9/13/2001	2/26/2004
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	9/13/2001	2/26/2004
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	12/26/2001
Inactive	American Economy Insurance Company	300315	Agent - General Lines	5/5/1999	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	12/26/2001
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/10/2009	5/21/2013
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/10/2009	5/21/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	4/12/2004	11/12/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/12/2004	11/12/2012
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	12/26/2001
Inactive	American States Insurance Company	301230	Agent - General Lines	5/5/1999	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	12/26/2001
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/10/2009	5/21/2013
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/10/2009	5/21/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/23/2007	5/21/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/23/2007	5/21/2013
Inactive	CICA Life Insurance Company of America	600487	Agent - Life	2/7/2005	3/31/2007
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/28/2010	5/21/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/28/2010	5/21/2013
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	10/6/2003	5/21/2013
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	10/6/2003	5/21/2013
Inactive	Continental Casualty Company	301019	Agent - Health	7/8/1998	11/29/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Life	9/3/2002	5/21/2013
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	1/18/2008	8/23/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	1/18/2008	8/23/2012
Inactive	Farmington Casualty Company	301137	Agent - Casualty	4/28/2010	5/21/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	4/28/2010	5/21/2013
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/6/2003	5/21/2013
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/6/2003	5/21/2013
Inactive	First Alliance Insurance Company	301000	Agent - Life	2/7/2005	2/7/2005
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	12/26/2001
Inactive	First National Insurance Company of America	301690	Agent - General Lines	5/5/1999	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	12/26/2001
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/29/2004	5/21/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/29/2004	5/21/2013
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	9/22/1994	3/28/1996
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	12/26/2001
Inactive	General Insurance Company of America	300261	Agent - General Lines	5/5/1999	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	12/26/2001
Inactive	Granite State Insurance Company	300818	Agent - Casualty	9/13/2006	9/24/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	9/13/2006	9/24/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/9/2007	9/24/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/9/2007	9/24/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/15/2000	8/26/2002
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	4/19/1999	8/15/2000
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/15/2000	8/26/2002
Inactive	Insurance Company of North America	300226	Agent - Casualty	8/15/2000	8/26/2002
Inactive	Insurance Company of North America	300226	Agent - General Lines	4/19/1999	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Property	8/15/2000	8/26/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	9/28/1994	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	2/21/2005	5/21/2013
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/21/2005	5/21/2013
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	5/21/2013	3/31/2023
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	9/28/1994	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	12/31/2019	3/31/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/31/2019	3/31/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/31/2019	3/31/2023
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	8/15/2000	8/26/2002
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	4/19/1999	8/15/2000
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	8/15/2000	8/26/2002
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	2/15/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	2/15/2013
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	1/16/2001	12/28/2005
Inactive	Progressive Max Insurance Company	301034	Agent - Property	1/16/2001	12/28/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	1/16/2001	2/15/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	1/16/2001	2/15/2013
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	1/16/2001	11/27/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	1/16/2001	11/27/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	12/26/2001
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	5/5/1999	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	12/26/2001
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	12/19/2000	1/1/2001
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/28/2010	5/21/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/28/2010	5/21/2013
Inactive	Star Casualty Insurance Company	681448	Agent - Casualty	6/14/2010	5/21/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/28/2010	5/21/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/28/2010	5/21/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	4/28/2010	5/21/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	4/28/2010	5/21/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	4/28/2010	5/21/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	4/28/2010	5/21/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	4/28/2010	5/21/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	4/28/2010	5/21/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/28/2010	5/21/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/28/2010	5/21/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/28/2010	5/21/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/28/2010	5/21/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/28/2010	5/21/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/28/2010	5/21/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/28/2010	5/21/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	4/28/2010	5/21/2013
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	1/18/2008	8/23/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	1/18/2008	8/23/2012
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	2/15/2013
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	2/15/2013
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	5/21/2013
Inactive	Western Surety Company	300283	Agent - General Lines	12/31/1997	8/15/2000
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/10/2009	5/21/2013
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/10/2009	5/21/2013
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/10/2009	5/21/2013
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/10/2009	5/21/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allen, Lori B	336448	Agent - Casualty	8/15/2000	2/1/2013
Inactive	Allen, Lori B	336448	Agent - General Lines	5/28/1997	8/15/2000
Inactive	Allen, Lori B	336448	Agent - Property	8/15/2000	2/1/2013
Inactive	Bailey, Joshua Michael	662829	Agent - Limited Line Credit	5/21/2013	10/31/2022
Inactive	Bradberry, John Steven	345503	Agent - Limited Line Credit	5/21/2013	1/27/2015
Inactive	Craddock, Teresa Ann	502770	Agent - Casualty	8/15/2000	6/23/2003
Inactive	Craddock, Teresa Ann	502770	Agent - General Lines	3/1/2000	8/15/2000
Inactive	Craddock, Teresa Ann	502770	Agent - Limited Line Credit	5/21/2013	7/31/2020
Inactive	Craddock, Teresa Ann	502770	Agent - Property	8/15/2000	6/23/2003
Inactive	Gossum, John Kevin	334409	Agent - Life	7/14/1997	3/1/2000
Inactive	Gunter, Greg	502582	Agent - Casualty	8/15/2000	6/18/2004
Inactive	Gunter, Greg	502582	Agent - General Lines	3/1/2000	8/15/2000
Inactive	Gunter, Greg	502582	Agent - Limited Line Credit	5/21/2013	3/31/2023
Inactive	Gunter, Greg	502582	Agent - Property	8/15/2000	6/18/2004
Inactive	Hicks, Jimmy Dan	316785	Agent - Casualty	8/15/2000	6/23/2003
Inactive	Hicks, Jimmy Dan	316785	Agent - General Lines	3/1/2000	8/15/2000
Inactive	Hicks, Jimmy Dan	316785	Agent - Property	8/15/2000	6/23/2003
Inactive	Kimbell, Richard Bruce	328180	Agent - Credit Life & Health	9/22/1994	5/17/1996
Inactive	Mitchell, Michael Scott	342718	Agent - Credit Life & Health	5/17/1996	8/7/2000
Inactive	Mitchell, Michael Scott	342718	Agent - Limited Line Credit	8/7/2000	1/1/2001
Inactive	Nichols, Edward Martin	390778	Agent - Credit Life & Health	5/17/1996	8/7/2000
Inactive	Nichols, Edward Martin	390778	Agent - Limited Line Credit	8/7/2000	1/1/2001
Inactive	Orlando, Annell W	359552	Agent - Casualty	2/20/2003	5/21/2013
Inactive	Orlando, Annell W	359552	Agent - Health	3/26/2004	5/21/2013
Inactive	Orlando, Annell W	359552	Agent - Life	3/26/2004	5/21/2013
Inactive	Orlando, Annell W	359552	Agent - Property	2/20/2003	5/21/2013
Inactive	Orlando, John Joseph	323467	Agent - Casualty	2/20/2003	5/21/2013
Inactive	Orlando, John Joseph	323467	Agent - Health	2/16/2005	5/21/2013
Inactive	Orlando, John Joseph	323467	Agent - Life	2/16/2005	5/21/2013
Inactive	Orlando, John Joseph	323467	Agent - Property	2/20/2003	5/21/2013
Inactive	Pittman, Larry Bennett	373869	Agent - Health	9/3/2002	11/19/2005
Inactive	Pittman, Larry Bennett	373869	Agent - Life	9/3/2002	11/19/2005
Inactive	Rase, Patrick Dean	576006	Agent - Health	7/30/2019	3/31/2023
Inactive	Rase, Patrick Dean	576006	Agent - Life	7/30/2019	3/31/2023
Denied	Rase, Patrick Dean	576006	Agent - Variable Life and Variable Annuities