DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lyczak, Tina Marie	DOIID	642724	NAIC NPN	8952959

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	6/12/2009	1/31/2021
Inactive	Resident	Agent	Casualty	6/12/2009	1/31/2021
* 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	Shelter General Insurance Company	301109	Agent - Casualty	6/19/2009	1/21/2014
Inactive	Shelter General Insurance Company	301109	Agent - Property	6/19/2009	1/21/2014
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	6/19/2009	1/21/2014
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	6/19/2009	1/21/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	1/23/2007	2/1/2009
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	1/23/2007	2/1/2009