DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sullivan, Stacey Nicole	DOIID	568268	NAIC NPN	7670595

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/7/2003	8/1/2015
* 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 National Insurance Company	301861	Agent - Life	1/28/2004	8/1/2015
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/11/2009	8/1/2015
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/11/2006	8/1/2015
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	9/12/2003	8/1/2007
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	9/27/2005	6/25/2007
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	7/20/2004	8/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Kentucky Bank, Inc.	398175	Agent - Life	1/15/2004	2/7/2014