DEPARTMENT OF INSURANCE

Affiliations

Name	Commonwealth Credit Union	DOIID	535769	NAIC NPN	6372906

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	8/22/2001		3/31/2027
Active	Resident	Agent	Life	8/10/2004		3/31/2027
Active	Resident	Agent	Health	8/10/2004		3/31/2027
Denied	Resident	Agent	Variable Life and Variable Annuities
Inactive	Resident	Agent	Casualty	8/10/2004	8/28/2014
Inactive	Resident	Agent	Property	8/10/2004	8/28/2014
* 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.

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	08/30/2024	08/30/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Life Insurance Company	301327	Agent - Limited Line Credit	8/22/2001	1/19/2005
Active	CMFG Life Insurance Company	300929	Agent - Health	7/30/2014
Active	CMFG Life Insurance Company	300929	Agent - Life	7/30/2014
Active	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	11/26/2001
Inactive	CUMIS Insurance Society Inc.	300859	Agent - Limited Line Credit	9/9/2015	3/18/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Abshire, Debra Gail	535431	Agent - Limited Line Credit	8/22/2001	10/21/2014
Inactive	Agee, Eric Scott	535418	Agent - Limited Line Credit	11/17/2004	2/5/2007
Inactive	Aldridge, Darryl Eugene	594915	Agent - Limited Line Credit	1/25/2005	2/5/2007
Inactive	Allison, Patricia Dale	535419	Agent - Limited Line Credit	8/22/2001	9/30/2014
Inactive	Bailey, Kim	535471	Agent - Limited Line Credit	8/22/2001	5/31/2006
Inactive	Baker-Penn, Janis Lynn	535408	Agent - Limited Line Credit	8/22/2001	8/28/2003
Inactive	Barker, Sherry Ann	535411	Agent - Limited Line Credit	8/22/2001	2/25/2003
Inactive	Bastin, Abigail Lee	542750	Agent - Limited Line Credit	1/7/2004	2/5/2007
Inactive	Baxter, Brenda Gabbard	535475	Agent - Limited Line Credit	8/22/2001	1/25/2005
Inactive	Begley, Judy Ann	336997	Agent - Limited Line Credit	8/22/2001	2/25/2003
Inactive	Bird, Jessica Anne	600031	Agent - Limited Line Credit	1/25/2005	5/28/2008
Active	Blevins, Robert H	304962	Agent - Limited Line Credit	1/7/2004
Inactive	Boggs, Debra Ann	535421	Agent - Limited Line Credit	8/22/2001	12/22/2005
Inactive	Bowen, Leigh Ann	579107	Agent - Limited Line Credit	1/7/2004	11/30/2017
Inactive	Bowman, Dustin Keith	535482	Agent - Limited Line Credit	8/22/2001	2/25/2003
Inactive	Brewer, Tonya Catherine	500839	Agent - Limited Line Credit	8/22/2001	11/30/2019
Inactive	Briney, June C	535424	Agent - Limited Line Credit	8/22/2001	4/3/2012
Inactive	Brown, Kelly Marie	535415	Agent - Limited Line Credit	8/22/2001	8/28/2003
Inactive	Carpenter, Heather Anne	596487	Agent - Limited Line Credit	1/25/2005	7/31/2007
Inactive	Charles, Sheri	535442	Agent - Limited Line Credit	8/22/2001	7/24/2007
Active	Christensen, Jaynel Nicole	543305	Agent - Limited Line Credit	1/7/2004
Inactive	Clark, Jeff A	535420	Agent - Limited Line Credit	8/22/2001	11/30/2006
Inactive	Coffey, Tracy Lee	535487	Agent - Limited Line Credit	8/22/2001	12/31/2013
Inactive	Copenhaver, Cynthia Diane	579122	Agent - Limited Line Credit	1/7/2004	8/28/2020
Inactive	Daugherty, Nikki Danielle	571048	Agent - Limited Line Credit	1/7/2004	1/27/2005
Inactive	Davis, Alan Ray	535485	Agent - Limited Line Credit	8/22/2001	12/1/2022
Inactive	Donnelly, Jodie Rose	535435	Agent - Limited Line Credit	8/22/2001	4/3/2012
Inactive	Dunaway, Michell Ann	535438	Agent - Limited Line Credit	8/22/2001	8/28/2003
Inactive	Durrum, Kimberly Marie	535451	Agent - Limited Line Credit	8/22/2001	6/30/2018
Inactive	Fowler, Amanda W.	597916	Agent - Limited Line Credit	1/25/2005	10/31/2010
Inactive	Gaertner, Heather Michelle	542584	Agent - Limited Line Credit	1/7/2004	6/7/2016
Inactive	Gamble, Moniqua Michelle	575671	Agent - Limited Line Credit	1/7/2004	1/20/2005
Inactive	Godby, Jennifer Lynn	568170	Agent - Limited Line Credit	1/7/2004	7/8/2024
Inactive	Gordon, Deonna Marie	535452	Agent - Limited Line Credit	8/22/2001	12/1/2022
Inactive	Graham, Keta Denice	535412	Agent - Limited Line Credit	8/22/2001	12/17/2014
Inactive	Green, Jeffrey Darren	563941	Agent - Limited Line Credit	1/7/2004	10/22/2008
Inactive	Hancock, Cora Mae	535479	Agent - Limited Line Credit	8/22/2001	8/8/2006
Inactive	Harley, Charles Jason	535486	Agent - Limited Line Credit	1/25/2005	9/16/2024
Inactive	Harrod, Kristie Ellen	535436	Agent - Limited Line Credit	8/22/2001	2/25/2003
Inactive	Hawkins, Karen G	535403	Agent - Limited Line Credit	8/22/2001	1/16/2015
Inactive	Hegwood, Krista Janeen	535444	Agent - Limited Line Credit	8/22/2001	8/29/2013
Inactive	Hubbard, Martha Frances	535422	Agent - Limited Line Credit	8/22/2001	2/21/2022
Inactive	Jackson, Florence	535414	Agent - Limited Line Credit	8/22/2001	7/23/2018
Inactive	Jeffries, Lori Allison	563942	Agent - Limited Line Credit	1/7/2004	6/30/2011
Inactive	Jennings, Kimberly L	535463	Agent - Limited Line Credit	8/22/2001	1/7/2004
Inactive	Kelley, Bonita G	535405	Agent - Limited Line Credit	8/22/2001	7/14/2022
Inactive	Kinder, Jessica Lyn	563946	Agent - Limited Line Credit	1/7/2004	1/25/2005
Inactive	Kring, Angela Gayle	535423	Agent - Limited Line Credit	8/22/2001	6/4/2015
Inactive	Kruer, Charlotte L	384104	Agent - Limited Line Credit	1/7/2004	7/22/2009
Inactive	Kurtz, Crystal Ann	535464	Agent - Limited Line Credit	8/22/2001	1/25/2005
Inactive	Kurtz, Susan E	535480	Agent - Limited Line Credit	8/22/2001	8/30/2011
Inactive	Lines, Stuart Lee	535416	Agent - Limited Line Credit	8/22/2001	8/5/2010
Inactive	Littlefield, Linda Susie	535413	Agent - Limited Line Credit	8/22/2001	8/5/2010
Inactive	Luigart, Danielle Andrea	535453	Agent - Limited Line Credit	8/22/2001	9/16/2024
Inactive	Luscher, Heather Lynne	535441	Agent - Limited Line Credit	8/22/2001	2/25/2003
Inactive	Maggard, Emily L	535433	Agent - Limited Line Credit	8/22/2001	3/29/2016
Inactive	Markin, Jenny Elizabeth	581470	Agent - Limited Line Credit	1/7/2004	6/30/2024
Active	Mason, DeAundra Lynn	542754	Agent - Limited Line Credit	1/7/2004
Active	Mcguire, Stephanie Lee	535428	Agent - Limited Line Credit	8/22/2001
Inactive	Mcknight, Paula	378852	Agent - Limited Line Credit	8/22/2001	12/30/2005
Inactive	Miley, Mackenzie Renee	569795	Agent - Limited Line Credit	1/7/2004	1/31/2011
Inactive	Miller, Jeanette Lynn	535425	Agent - Limited Line Credit	8/22/2001	5/1/2013
Active	Miller, Kimberly Jane	535443	Agent - Limited Line Credit	8/22/2001
Inactive	Mills, Michelle L	535455	Agent - Limited Line Credit	8/22/2001	6/9/2009
Inactive	Mitchell, Victoria J	535417	Agent - Limited Line Credit	8/22/2001	6/30/2020
Inactive	Morgan, Jessica Lynn	594162	Agent - Limited Line Credit	1/25/2005	2/16/2009
Active	Murphy, Sarah E	535465	Agent - Limited Line Credit	10/28/2024
Inactive	Nearhoof, Michele M	535437	Agent - Limited Line Credit	8/22/2001	10/21/2014
Inactive	Nicholas, Agnes Marie	535457	Agent - Limited Line Credit	8/22/2001	2/25/2003
Inactive	O'Brien, Jamie Lynn	535467	Agent - Limited Line Credit	8/22/2001	4/16/2013
Inactive	Patton, Bethany DeArmond	535460	Agent - Limited Line Credit	8/22/2001	9/30/2021
Inactive	Pentecost, Lori Gayle	594916	Agent - Limited Line Credit	1/25/2005	10/6/2022
Inactive	Peterson, Albert	535483	Agent - Limited Line Credit	8/22/2001	8/28/2003
Inactive	Potts, Robin Rochelle	535430	Agent - Limited Line Credit	8/22/2001	2/25/2003
Inactive	Proctor, Leslie Diane	535427	Agent - Limited Line Credit	8/22/2001	2/5/2007
Inactive	Raizor, Mary Melissa	535406	Agent - Limited Line Credit	8/22/2001	6/30/2024
Inactive	Rector, Kellie Cooke	535409	Agent - Limited Line Credit	8/22/2001	3/7/2019
Inactive	Rhorer, Katie N	600102	Agent - Limited Line Credit	1/25/2005	9/25/2006
Inactive	Ricketts, Christy Lynn	535434	Agent - Limited Line Credit	8/22/2001	10/1/2003
Inactive	Riddell, Mary Jo	580067	Agent - Limited Line Credit	1/25/2005	11/29/2005
Inactive	Robinette, Kimberly Dawn	577460	Agent - Limited Line Credit	1/25/2005	10/21/2014
Inactive	Royall, Wilson	535481	Agent - Limited Line Credit	8/22/2001	8/28/2003
Inactive	Sandifer, Brandy Nicole	580304	Agent - Limited Line Credit	1/7/2004	8/5/2010
Inactive	Schwartz, Barry A	329882	Agent - Casualty	2/20/2007	8/28/2014
Inactive	Schwartz, Barry A	329882	Agent - Health	2/20/2007	8/28/2014
Inactive	Schwartz, Barry A	329882	Agent - Life	2/20/2007	8/28/2014
Inactive	Schwartz, Barry A	329882	Agent - Property	2/20/2007	8/28/2014
Inactive	Smith, Stephanie	579127	Agent - Limited Line Credit	1/7/2004	2/9/2009
Inactive	Steele, Mindy Lynn	575672	Agent - Limited Line Credit	1/7/2004	3/29/2021
Inactive	Stopper, Linda Marie	535459	Agent - Limited Line Credit	8/22/2001	8/30/2007
Inactive	Tackett, Cynthia Renee	347226	Agent - Limited Line Credit	8/22/2001	12/31/2005
Inactive	Taylor, Kathryne Lee	535474	Agent - Limited Line Credit	8/22/2001	1/7/2004
Active	Temple, Kimberly Sue	745111	Agent - Health	8/28/2014
Active	Temple, Kimberly Sue	745111	Agent - Life	8/28/2014
Inactive	Thacker, Gustina S	563944	Agent - Limited Line Credit	1/7/2004	10/29/2013
Inactive	Thomas, Gloria Susan	535489	Agent - Limited Line Credit	8/22/2001	1/25/2005
Inactive	Tipton, Amber Joy	563945	Agent - Limited Line Credit	1/7/2004	6/30/2004
Inactive	Tussey, Cynthia Denise	535449	Agent - Limited Line Credit	8/22/2001	1/25/2005
Inactive	Wachter, David Jason	535440	Agent - Limited Line Credit	8/22/2001	2/25/2003
Inactive	Walker , Brittney Elizabeth	575139	Agent - Limited Line Credit	1/25/2005	5/31/2024
Inactive	Whelan, Martha Ann	535445	Agent - Limited Line Credit	1/7/2004	12/30/2005
Inactive	Wiegand, Kasey Rehm	581474	Agent - Limited Line Credit	1/7/2004	8/5/2010
Inactive	Wilson, John Raymond	344910	Agent - Limited Line Credit	8/22/2001	4/16/2013
Inactive	Wingate, Christy G	563943	Agent - Limited Line Credit	1/7/2004	5/1/2013
Inactive	Wolf, Patty Lewis	535404	Agent - Limited Line Credit	8/22/2001	1/31/2012
Inactive	Woodrow, Jennifer	535410	Agent - Limited Line Credit	8/22/2001	1/25/2005
Inactive	Woodside, Emily Hanks	535407	Agent - Limited Line Credit	8/22/2001	2/25/2003
Active	Wooldridge, Lynette Marie	550012	Agent - Limited Line Credit	12/7/2004
Inactive	Yount, Janet Lee	535447	Agent - Limited Line Credit	1/7/2004	2/5/2007