DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fredonia Valley Bank	DOIID	400583	NAIC NPN	7222508

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	2/28/1995	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	5/2/2002	3/31/2020
* 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	American General Assurance Company	300586	Agent - Limited Line Credit	7/13/2004	12/31/2008
Inactive	CICA Life Insurance Company of America	600487	Agent - Limited Line Credit	1/1/2005	3/31/2007
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	5/2/2002	1/1/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	2/24/2005	3/31/2020
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	5/2/2002	3/31/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	2/28/1995	12/1/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Limited Line Credit	3/14/2008	11/7/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bugg, John Brent	307945	Agent - Limited Line Credit	1/24/2005	1/31/2020
Inactive	Jones, Thomas Eugene	341888	Agent - Limited Line Credit	2/8/2007	3/31/2020
Inactive	Mott, Wanda L	371333	Agent - Limited Line Credit	1/24/2005	2/8/2007
Inactive	Patton, Gilford Hobson	373477	Agent - Credit Life & Health	2/28/1995	8/7/2000
Inactive	Patton, Gilford Hobson	373477	Agent - Limited Line Credit	9/20/2000	1/16/2002
Inactive	Riley, Paul F	343268	Agent - Credit Life & Health	11/6/1995	6/27/1996
Inactive	Stewart, Steven E	359533	Agent - Limited Line Credit	1/24/2005	3/31/2020
Inactive	Tosh, Lois Anne	374331	Agent - Limited Line Credit	3/27/2009	3/31/2020