DEPARTMENT OF INSURANCE

Affiliations

Name	Farmers National Bank	DOIID	400891	NAIC NPN	7222732

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	9/6/2002		3/31/2027
Active	Resident	Agent	Limited Line Credit	3/8/2011		3/31/2027
Active	Resident	Agent	Life	9/6/2002		3/31/2027
Inactive	Resident	Agent	Credit Life & Health	5/17/1994	8/7/2000
Inactive	Resident	Agent	Mortgage Redemption	6/12/1989	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	01/15/2025	03/31/2025	02/06/2025	02/06/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American National Insurance Company	301861	Agent - Limited Line Credit	8/27/2015	4/22/2024
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Limited Line Credit	6/30/2006	2/1/2011
Inactive	CICA Life Insurance Company of America	600487	Agent - Health	1/1/2005	3/31/2007
Inactive	CICA Life Insurance Company of America	600487	Agent - Life	1/1/2005	3/31/2007
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 - Health	9/6/2002	1/1/2005
Inactive	First Alliance Insurance Company	301000	Agent - Life	9/6/2002	1/1/2005
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	1/3/2002	1/1/2005
Active	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/1/2016
Active	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/1/2016
Active	Investors Heritage Life Insurance Company	300363	Agent - Health	7/17/2015
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	7/17/2015	7/12/2021
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	7/17/2015	7/12/2021
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	6/12/1989	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/24/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	7/5/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	5/17/1994	9/24/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Brussell, Charles Derrick	817812	Agent - Limited Line Credit	7/20/2015
Inactive	Cambron, Frank Douglas	387164	Agent - Credit Life & Health	8/30/1989	8/7/2000
Inactive	Cambron, Frank Douglas	387164	Agent - Limited Line Credit	8/7/2000	11/30/2010
Inactive	Daugherty, David Raymond	680165	Agent - Limited Line Credit	4/8/2011	6/30/2014
Active	Filiatreau, Joanna J	1154202	Agent - Limited Line Credit	9/15/2021
Inactive	Lanham, Rodney Lynn	383322	Agent - Health	2/19/2003	9/26/2016
Inactive	Lanham, Rodney Lynn	383322	Agent - Life	2/19/2003	9/26/2016
Inactive	Mattingly, Steven B	711356	Agent - Health	2/6/2017	12/15/2023
Inactive	Mattingly, Steven B	711356	Agent - Life	2/6/2017	12/15/2023
Inactive	Mattingly, Steven B	711356	Agent - Limited Line Credit	4/8/2011	5/22/2024
Inactive	Richardson, James William	343649	Agent - Health	9/6/2002	10/1/2016
Inactive	Richardson, James William	343649	Agent - Life	9/6/2002	10/1/2016
Inactive	Richardson, James William	343649	Agent - Limited Line Credit	3/8/2011	9/30/2016
Active	Smith, Amanda Nicole	710051	Agent - Life	7/31/2020
Inactive	Spalding, Frederick Chad	885175	Agent - Limited Line Credit	10/21/2015	6/24/2019
Inactive	Spragens, Thomas Eugene	393170	Agent - Credit Life & Health	7/11/1977	8/7/2000
Inactive	Spragens, Thomas Eugene	393170	Agent - Limited Line Credit	8/7/2000	1/16/2002
Inactive	Taylor, James W	568769	Agent - Health	7/20/2015	10/31/2015
Inactive	Taylor, James W	568769	Agent - Life	7/20/2015	10/31/2015
Active	Wilson, Misha Jo	725871	Agent - Health	7/28/2015
Inactive	Wilson, Misha Jo	725871	Agent - Life	7/28/2015	4/10/2024
Active	Wilson, Misha Jo	725871	Agent - Limited Line Credit	7/20/2015