DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Faulkner, Jon Kevin	DOIID	647019	NAIC NPN	3388896

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/4/2007	11/10/2014
Inactive	Non Resident	Agent	Property	1/4/2007	11/10/2014
* 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 Family Home Insurance Company	301817	Agent - Casualty	1/25/2007	3/5/2007
Inactive	American Family Home Insurance Company	301817	Agent - Property	1/25/2007	3/5/2007
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	5/8/2013	10/29/2014
Inactive	Praetorian Insurance Company	301021	Agent - Property	5/8/2013	10/29/2014
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	5/8/2013	10/29/2014
Inactive	QBE Insurance Corporation	300515	Agent - Property	5/8/2013	10/29/2014
Inactive	Tesla Insurance Company	300337	Agent - Casualty	1/10/2007	11/27/2012
Inactive	Tesla Insurance Company	300337	Agent - Property	1/10/2007	11/27/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	1/29/2007	4/27/2011
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	1/29/2007	4/27/2011
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Property	1/29/2007	10/5/2009
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Casualty	1/29/2007	10/5/2009
Inactive	NGLS Insurance Services , Inc	399928	Agent - Property	4/2/2014	10/29/2014
Inactive	NGLS Insurance Services , Inc	399928	Agent - Casualty	4/2/2014	10/29/2014