DEPARTMENT OF INSURANCE

Affiliations

Name	Headrick, Stacey Denise	DOIID	854642	NAIC NPN	17386295

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	10/29/2014	8/1/2019
Inactive	Resident	Agent	Casualty	10/29/2014	8/1/2019
* 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 Fire and Casualty Company	300567	Agent - Casualty	11/13/2014	7/22/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	11/13/2014	7/22/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/28/2015	8/7/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/28/2015	8/7/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/28/2015	8/7/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/28/2015	8/7/2015
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	11/10/2014	8/20/2015
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	11/10/2014	8/20/2015
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	11/26/2014	7/22/2015
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	11/26/2014	7/22/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	11/13/2014	7/22/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	11/13/2014	7/22/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	1/19/2015	7/23/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	1/19/2015	7/23/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	11/13/2014	7/22/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	11/13/2014	7/22/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	11/13/2014	7/22/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	11/13/2014	7/22/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/13/2014	7/22/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	11/13/2014	7/22/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	11/13/2014	7/22/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	11/13/2014	7/22/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	11/13/2014	7/22/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	11/13/2014	7/22/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	11/13/2014	7/22/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	11/13/2014	7/22/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/3/2014	7/28/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/3/2014	7/28/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	11/13/2014	7/22/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	11/13/2014	7/22/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/13/2014	7/22/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/13/2014	7/22/2015
Inactive	West American Insurance Company	301112	Agent - Casualty	11/13/2014	7/22/2015
Inactive	West American Insurance Company	301112	Agent - Property	11/13/2014	7/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Calvert & Nunn Insurance Inc.	398410	Agent - Casualty	11/3/2014	7/21/2015
Inactive	Calvert & Nunn Insurance Inc.	398410	Agent - Property	11/3/2014	7/21/2015