DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Springfield State Bank	DOIID	400591	NAIC NPN	7222516

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Mortgage Redemption	8/30/1995	12/28/1998
Inactive	Resident	Agent	Credit Life & Health	11/30/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2019
* 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	Citizens Security Life Insurance Company	301257	Agent - Limited Line Credit	7/16/2001	8/16/2004
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Mortgage Redemption	8/30/1995	12/28/1998
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	8/7/2000	3/31/2019
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	11/30/1994	12/1/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	3/6/2008	3/31/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clifton, Gary F	341757	Agent - Credit Life & Health	9/12/1989	5/20/1997
Inactive	Goatley, Margaret Mc Elroy	354227	Agent - Limited Line Credit	7/16/2001	3/31/2019
Inactive	Polin, Joseph Robert	381478	Agent - Limited Line Credit	1/18/2005	2/28/2017
Inactive	Reed, Darrell Keith	307520	Agent - Limited Line Credit	1/18/2005	4/30/2018
Inactive	Spalding, Joey A	320204	Agent - Limited Line Credit	1/18/2005	3/31/2019