DEPARTMENT OF INSURANCE

Affiliations

Name	Town Square Bank, Inc.	DOIID	502860	NAIC NPN	7223073

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2016
Inactive	Resident	Agent	Life	5/3/2004	3/31/2016
Inactive	Resident	Agent	Credit Life & Health	2/9/2000	8/7/2000
* 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	CICA Life Insurance Company of America	600487	Agent - Limited Line Credit	1/1/2005	3/31/2007
Inactive	First Alliance Insurance Company	301000	Agent - Credit Life & Health	2/9/2000	8/7/2000
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	8/7/2000	1/1/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	3/8/2004	3/31/2016
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/5/2004	6/7/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bays, Monica F	853662	Agent - Limited Line Credit	3/5/2015	3/31/2016
Inactive	Beckley, David Brian	349795	Agent - Limited Line Credit	1/9/2004	1/30/2007
Inactive	Belt, Lisa Gaye	657261	Agent - Limited Line Credit	10/13/2014	3/31/2016
Inactive	Caldwell, Darrell John	313426	Agent - Credit Life & Health	2/9/2000	8/7/2000
Inactive	Caldwell, Darrell John	313426	Agent - Limited Line Credit	8/7/2000	7/25/2002
Inactive	Chaney, Bryan Stuart	525524	Agent - Limited Line Credit	1/9/2004	5/31/2005
Inactive	Cobb, Eldon Thomas	393964	Agent - Life	10/13/2014	3/31/2016
Inactive	Cornwell, Peggy	786594	Agent - Limited Line Credit	10/13/2014	3/31/2016
Inactive	Gillum, Donna M	386796	Agent - Limited Line Credit	3/4/2015	3/31/2016
Inactive	Groves, Cathy L	380674	Agent - Credit Life & Health	2/9/2000	8/7/2000
Inactive	Groves, Cathy L	380674	Agent - Limited Line Credit	8/7/2000	12/31/2003
Inactive	Jackson, Jessica Rena	786588	Agent - Limited Line Credit	10/13/2014	3/31/2016
Inactive	Large, Matthew Ryan	817126	Agent - Limited Line Credit	10/13/2014	3/31/2016
Inactive	Ross, Martin B	351536	Agent - Credit Life & Health	2/9/2000	8/7/2000
Inactive	Ross, Martin B	351536	Agent - Limited Line Credit	8/7/2000	1/9/2004
Inactive	Smith, Kimberlee Diann	341445	Agent - Life	5/3/2004	3/31/2016
Inactive	Smith, Kimberlee Diann	341445	Agent - Limited Line Credit	9/20/2012	3/31/2016
Inactive	Smith, Steve Hunter	347613	Agent - Limited Line Credit	1/9/2004	4/4/2007
Inactive	Vanhorn, Robert Bruce	365627	Agent - Credit Life & Health	2/9/2000	8/7/2000
Inactive	Vanhorn, Robert Bruce	365627	Agent - Limited Line Credit	8/7/2000	2/20/2007
Inactive	Workman, Michael Woodson	583158	Agent - Limited Line Credit	1/24/2005	6/30/2012