DEPARTMENT OF INSURANCE

Name	Stacy Insurance Inc.	DOIID	398813	NAIC NPN	7221182

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	2/27/2024		3/31/2027
Inactive	Resident	Agent	Life	4/26/2002	8/1/2016
Inactive	Resident	Agent	Health	4/26/2002	8/1/2016
Inactive	Resident	Agent	Credit Life & Health	8/3/1994	8/7/2000

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	204 Court Street West Liberty, KY 41472

Internet Information

Type	Address
Business Email	jstacy@botm.bank

Phone Information

Type	Phone
Business / Home Office	(606) 743-3141