DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crisp, Stacy Fulkerson	DOIID	737983	NAIC NPN	15959046

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	10/21/2010	3/31/2025
* 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 Reliable Insurance Company	301889	Agent - Limited Line Credit	12/7/2010	4/8/2011
Inactive	CNL/Insurance America, Inc.	562011	Agent - Limited Line Credit	12/1/2010	12/31/2013
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	12/8/2010	4/4/2024
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	11/20/2019	3/31/2025
Inactive	Securian Casualty Company	642441	Agent - Limited Line Credit	12/31/2013	4/14/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lendmark Financial Services, LLC	604892	Agent - Limited Line Credit	12/1/2010	4/1/2025