DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stacy, Jonathan Travis	DOIID	542733	NAIC NPN	7223668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	12/29/2003	9/30/2023
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	7/12/2007	9/20/2021
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/31/2009	9/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bank of the Mountains	747565	Agent - Limited Line Credit	2/4/2011	3/31/2021
Inactive	Stacy Insurance Inc.	398813	Agent - Limited Line Credit	2/26/2004	3/31/2021