DEPARTMENT OF INSURANCE

Name	Fabric Ins Agency LLC	DOIID	938009	NAIC NPN	18206849

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	11/28/2016	11/15/2022
Inactive	Non Resident	Agent	Life	11/28/2016	11/15/2022

*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	20 Jay Street, Suite 438 Brooklyn, NY 11201

Phone Information

Type	Phone
Business / Home Office	(917) 514-9074