DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	1st Trust Bank	DOIID	605537	NAIC NPN	8424911

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	3/21/2005	3/31/2019
* 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	7/19/2007	3/31/2019
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	3/21/2005	8/4/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Coffey, Jaime Lee	663690	Agent - Limited Line Credit	7/5/2011	12/31/2012
Inactive	Collins, Tabatha Lynn	670435	Agent - Limited Line Credit	7/5/2011	12/31/2011
Inactive	Daley, Deborah Cornett	601194	Agent - Limited Line Credit	3/21/2005	1/23/2012
Inactive	Farris, Travis Dwight	701077	Agent - Limited Line Credit	5/11/2016	3/31/2019
Inactive	Knight, Mary R	389780	Agent - Limited Line Credit	5/11/2016	5/11/2017
Inactive	Lewis, Roger Earl	386739	Agent - Limited Line Credit	5/11/2016	3/31/2019
Denied	Mitchell, Hugh Trigg	364330	Agent - Limited Line Credit
Inactive	Mitchell, Maxwell Barret	748405	Agent - Limited Line Credit	7/5/2011	1/31/2014
Inactive	Wingate, Matthew Jason	657277	Agent - Limited Line Credit	5/11/2016	6/30/2017