DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	PBI Bank, Inc	DOIID	558522	NAIC NPN	7481458

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	10/14/2002	3/31/2016
* 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	5/22/2006	3/31/2016
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	11/1/2002	3/31/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Catlett, Fred G	364286	Agent - Limited Line Credit	2/21/2003	9/30/2005
Inactive	Chilton, Kelley Dean	360400	Agent - Limited Line Credit	2/21/2003	11/9/2008
Inactive	Davenport, Jennifer C	547530	Agent - Limited Line Credit	10/14/2002	11/30/2004
Inactive	Davis, Kerry Lynn	362635	Agent - Limited Line Credit	1/21/2004	3/15/2004
Inactive	Hale, Nancy P	305298	Agent - Limited Line Credit	3/22/2005	1/7/2008
Inactive	Hance, Arthur Wallace	373433	Agent - Limited Line Credit	2/21/2003	8/8/2003
Inactive	Harris, Kenneth Evan	306637	Agent - Limited Line Credit	10/14/2002	2/3/2003
Inactive	Heightchew, Doris Ann	382045	Agent - Limited Line Credit	2/21/2003	12/31/2004
Inactive	Lowe, Betty M	370439	Agent - Limited Line Credit	10/14/2002	8/31/2004
Inactive	Payton, Donna Ray	364720	Agent - Limited Line Credit	2/21/2003	6/19/2003
Inactive	Phillips, Sandy H	316328	Agent - Limited Line Credit	1/21/2004	10/31/2013
Inactive	Puckett, Vanessa Lynn	313711	Agent - Limited Line Credit	2/26/2007	3/31/2016
Inactive	Ramey, Larry Bryant	353418	Agent - Limited Line Credit	3/22/2005	12/31/2008
Inactive	Shadburne, David Lewis	351630	Agent - Limited Line Credit	2/26/2007	8/31/2010
Inactive	Warren, Jerry Walton	380569	Agent - Limited Line Credit	10/14/2002	9/5/2006
Inactive	Young, Eric Todd	326431	Agent - Limited Line Credit	10/14/2002	9/5/2006