DEPARTMENT OF INSURANCE

Affiliations

Name	Falcon Ins Agency Inc	DOIID	569439	NAIC NPN	1332894

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/23/2003		3/31/2025
Active	Non Resident	Agent	Property	5/23/2003		3/31/2025
Active	Non Resident	Agent	Health	6/5/2013		3/31/2025
Inactive	Non Resident	Agent	Life	6/5/2013	8/1/2023
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	11/11/2016
Active	American Alternative Insurance Corporation	301697	Agent - Property	11/11/2016
Inactive	Arch Insurance Company	300688	Agent - Casualty	10/8/2007	4/11/2012
Inactive	Arch Insurance Company	300688	Agent - Property	10/8/2007	4/11/2012
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/10/2013	4/25/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/10/2013	4/25/2013
Inactive	Farmington Casualty Company	301137	Agent - Casualty	4/10/2013	4/25/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	4/10/2013	4/25/2013
Inactive	Great American Insurance Company	301586	Agent - Casualty	4/8/2014	1/30/2023
Inactive	Great American Insurance Company	301586	Agent - Property	4/8/2014	1/30/2023
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	5/16/2017
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	5/16/2017
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	5/16/2017
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	5/16/2017
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/12/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/12/2022
Inactive	North Pointe Insurance Company	301029	Agent - Casualty	9/6/2011	4/21/2015
Inactive	North Pointe Insurance Company	301029	Agent - Property	9/6/2011	4/21/2015
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	10/21/2004	4/28/2023
Inactive	Old Republic Insurance Company	301225	Agent - Property	10/21/2004	4/28/2023
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	9/6/2011	4/21/2015
Inactive	Praetorian Insurance Company	301021	Agent - Property	9/6/2011	4/21/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	9/6/2011	7/19/2023
Inactive	QBE Insurance Corporation	300515	Agent - Property	9/6/2011	7/19/2023
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	4/10/2013	4/25/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	4/10/2013	4/25/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	4/10/2013	4/25/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	4/10/2013	4/25/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	4/10/2013	4/25/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	4/10/2013	4/25/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/10/2013	4/25/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/10/2013	4/25/2013
Inactive	Star Insurance Company	301553	Agent - Casualty	3/25/2011	1/21/2015
Inactive	Star Insurance Company	301553	Agent - Property	3/25/2011	1/21/2015
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	11/7/2019	5/24/2023
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	11/7/2019	5/24/2023
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	11/7/2019	5/24/2023
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	8/1/2013	5/7/2015
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	8/1/2013	5/7/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/10/2013	4/25/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/10/2013	4/25/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	4/10/2013	4/25/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	4/10/2013	4/25/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	4/10/2013	4/25/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	4/10/2013	4/25/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/10/2013	4/25/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/10/2013	4/25/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/10/2013	4/25/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/10/2013	4/25/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/10/2013	4/25/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/10/2013	4/25/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/10/2013	4/25/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	4/10/2013	4/25/2013
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	8/5/2021	7/5/2023
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	8/5/2021	7/5/2023
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	7/9/2008	12/24/2013
Inactive	XL Specialty Insurance Company	301605	Agent - Property	7/9/2008	12/24/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Abdullah, Henry Shaheen	569423	Agent - Casualty	2/23/2005
Active	Abdullah, Henry Shaheen	569423	Agent - Property	2/23/2005
Inactive	Abernathy, Kristopher Bartley	324824	Agent - Casualty	3/18/2005	7/16/2005
Inactive	Abernathy, Kristopher Bartley	324824	Agent - Property	3/18/2005	7/16/2005
Inactive	Allen, John Russell	324744	Agent - Casualty	5/23/2003	10/3/2016
Inactive	Allen, John Russell	324744	Agent - Property	5/23/2003	10/18/2016
Inactive	Bradshaw, Floyd Thomas	526493	Agent - Casualty	6/4/2013	5/31/2023
Inactive	Bradshaw, Floyd Thomas	526493	Agent - Health	6/5/2013	5/31/2023
Inactive	Bradshaw, Floyd Thomas	526493	Agent - Life	6/5/2013	5/31/2023
Inactive	Bradshaw, Floyd Thomas	526493	Agent - Property	6/4/2013	5/31/2023
Active	Dowlen, Barry Ray	595131	Agent - Casualty	6/16/2014
Active	Dowlen, Barry Ray	595131	Agent - Health	10/5/2018
Denied	Dowlen, Barry Ray	595131	Agent - Life
Active	Dowlen, Barry Ray	595131	Agent - Property	6/16/2014
Inactive	Etlinger, Michael Henry	561782	Agent - Casualty	2/23/2005	11/30/2022
Inactive	Etlinger, Michael Henry	561782	Agent - Property	2/23/2005	11/30/2022
Active	Gampfer, David M	608061	Agent - Casualty	6/16/2014
Active	Gampfer, David M	608061	Agent - Property	6/16/2014
Active	Stewart, James Darrell	512809	Agent - Casualty	3/18/2005
Active	Stewart, James Darrell	512809	Agent - Property	3/18/2005
Inactive	Swilley, Brenda Lee	560470	Agent - Casualty	5/24/2004	8/17/2004
Inactive	Swilley, Brenda Lee	560470	Agent - Property	5/24/2004	8/17/2004