DEPARTMENT OF INSURANCE

Name	Conklin, Eric Allen	DOIID	545363	NAIC NPN	4587348

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/18/2021		11/30/2024
Active	Non Resident	Agent	Property	8/18/2021		11/30/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	2/7/2011	11/30/2020
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/12/2021		11/30/2024

*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	09/15/2024	11/30/2024
Surplus Lines Broker	09/15/2024	11/30/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	710 E Main St Lexington, KY 405021668
Residence	Not Public Information

Internet Information

Type	Address
Internet	https://rokstoneuw.com/

Phone Information

Type	Phone
Business / Home Office	(859) 629-6055