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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

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