DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Preston Park	DOIID	872564	NAIC NPN	17514960

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/19/2015	6/30/2024
Inactive	Non Resident	Agent	Casualty	3/19/2015	6/30/2024
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/11/2020	6/30/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/11/2020	6/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	21st Mortgage Corporation	535238	Agent - Property
Denied	21st Mortgage Corporation	535238	Agent - Casualty