DEPARTMENT OF INSURANCE

Affiliations

Name	Nacyk, Jeffrey A	DOIID	629403	NAIC NPN	2224432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	4/4/2006	7/31/2026
Active	Non Resident	Agent	Casualty	4/4/2006	7/31/2026
* 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	05/15/2024	07/31/2024	05/06/2024	05/06/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	10/13/2010	5/16/2013
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	10/13/2010	5/16/2013
Active	CorePointe Insurance Company	300406	Agent - Casualty	11/1/2021
Active	CorePointe Insurance Company	300406	Agent - Property	11/1/2021
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	6/16/2006	12/9/2013
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	6/16/2006	12/9/2013
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	6/16/2006	12/9/2013
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	6/16/2006	12/9/2013
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	11/1/2021
Active	Milford Casualty Insurance Company	301460	Agent - Property	11/1/2021
Active	NOVA Casualty Company	622806	Agent - Casualty	9/15/2017
Active	NOVA Casualty Company	622806	Agent - Property	9/15/2017
Inactive	SPARTA Insurance Company	301523	Agent - Casualty	12/1/2010	4/1/2012
Inactive	SPARTA Insurance Company	301523	Agent - Property	12/1/2010	4/1/2012
Active	Security National Insurance Company	301151	Agent - Casualty	8/15/2013
Active	Security National Insurance Company	301151	Agent - Property	8/15/2013
Active	Southern Insurance Company	301630	Agent - Casualty	11/1/2021
Active	Southern Insurance Company	301630	Agent - Property	11/1/2021
Active	Technology Insurance Company	613278	Agent - Casualty	8/15/2013
Active	Technology Insurance Company	613278	Agent - Property	8/15/2013
Inactive	TravCo Personal Insurance Company	301284	Agent - Casualty	6/16/2006	12/9/2013
Inactive	TravCo Personal Insurance Company	301284	Agent - Property	6/16/2006	12/9/2013
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	6/16/2006	12/9/2013
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	6/16/2006	12/9/2013
Active	Wesco Insurance Company	300534	Agent - Casualty	8/15/2013
Active	Wesco Insurance Company	300534	Agent - Property	8/15/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Artex Risk Solutions Inc	679848	Agent - Property	6/16/2010	3/6/2012
Inactive	Artex Risk Solutions Inc	679848	Agent - Casualty	6/16/2010	3/6/2012
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	8/7/2006	6/16/2010
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	8/7/2006	6/16/2010