DEPARTMENT OF INSURANCE

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
Pending Replacement	Non Resident	Agent	Property	3/19/2015		6/30/2024
Pending Replacement	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/11/2020
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/11/2020

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