DEPARTMENT OF INSURANCE

Affiliations

Name	Faulkner, Shannon M	DOIID	556224	NAIC NPN	7102727

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/28/2013	12/31/2025
Active	Non Resident	Agent	Property	6/28/2013	12/31/2025
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2013	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2013	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/15/2013	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/15/2013	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/15/2013	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/15/2013	11/14/2021
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	4/5/2005	10/3/2006
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	4/5/2005	10/3/2006
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/5/2005	10/3/2006
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/5/2005	10/3/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/13/2014	3/15/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/13/2014	3/15/2022
Inactive	Merastar Insurance Company	301363	Agent - Casualty	3/17/2004	12/31/2007
Inactive	Merastar Insurance Company	301363	Agent - Property	3/17/2004	12/31/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/21/2004	1/19/2006
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/21/2004	1/19/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/21/2004	1/19/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/21/2004	1/19/2006
Inactive	RLI Insurance Company	301217	Agent - Casualty	1/21/2020	3/9/2022
Inactive	RLI Insurance Company	301217	Agent - Property	1/21/2020	3/9/2022
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	7/1/2013	3/10/2022
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	7/1/2013	3/10/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	RiverStone Internation U.S., LLC	521813	Agent - Casualty	7/17/2013	3/10/2022
Inactive	RiverStone Internation U.S., LLC	521813	Agent - Property	7/17/2013	3/10/2022
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	6/4/2004	12/31/2007
Inactive	Seabury & Smith Inc	394854	Agent - Property	6/4/2004	12/31/2007