DEPARTMENT OF INSURANCE

Affiliations

Name	Buckley, Shannon	DOIID	787165	NAIC NPN	16735419

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/2/2012	10/1/2017
Inactive	Resident	Agent	Casualty	8/2/2012	10/1/2017
* 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 Modern Home Insurance Company	300791	Agent - Casualty	9/16/2013	1/21/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/16/2013	1/21/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/16/2013	1/21/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/16/2013	1/21/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/16/2013	1/21/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/16/2013	1/21/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/26/2012	10/1/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/26/2012	10/1/2017
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Casualty	9/4/2012	1/6/2016
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Property	9/4/2012	1/6/2016
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/27/2014	1/8/2016
Inactive	Dairyland Insurance Company	301370	Agent - Property	5/27/2014	1/8/2016
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	12/16/2015	1/11/2016
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	12/16/2015	1/11/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/16/2015	1/11/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/16/2015	1/11/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/26/2012	10/1/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/26/2012	10/1/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/24/2012	1/12/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/24/2012	1/12/2016
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/24/2012	1/12/2016
Inactive	Grange Insurance Company	300234	Agent - Property	8/24/2012	1/12/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	8/24/2012	1/12/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	8/24/2012	1/12/2016
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	8/23/2012	12/30/2015
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	8/23/2012	12/30/2015
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	8/23/2012	12/30/2015
Inactive	GuideOne Insurance Company	301794	Agent - Property	8/23/2012	12/30/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/23/2012	12/30/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	8/23/2012	12/30/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	5/9/2013	12/18/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	5/9/2013	12/18/2015
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	9/19/2012	12/30/2015
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/19/2012	12/30/2015
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	10/2/2013	1/4/2016
Inactive	Selective Insurance Company of America	500018	Agent - Property	10/2/2013	1/4/2016
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	10/2/2013	1/4/2016
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	10/2/2013	1/4/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	10/2/2013	1/4/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	10/2/2013	1/4/2016
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/6/2013	12/18/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/6/2013	12/18/2015
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	8/24/2012	1/12/2016
Inactive	Trustgard Insurance Company	300104	Agent - Property	8/24/2012	1/12/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Claude Reynolds Insurance Agency, Inc.	526280	Agent - Casualty	8/23/2012	12/29/2015
Inactive	Claude Reynolds Insurance Agency, Inc.	526280	Agent - Property	8/23/2012	12/29/2015
Inactive	The Underwriters Group, Inc	674720	Agent - Casualty	1/5/2016	7/7/2017
Inactive	The Underwriters Group, Inc	674720	Agent - Property	1/5/2016	7/7/2017