DEPARTMENT OF INSURANCE

Name	Brundige, John D	DOIID	307585	NAIC NPN	830815

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/5/2013	8/31/2020
Inactive	Non Resident	Agent	Casualty	12/5/2013	8/31/2020
Inactive	Non Resident	Agent	Property	12/5/2013	8/31/2020
Inactive	Non Resident	Agent	Health	12/5/2013	8/31/2020
Inactive	Non Resident	Agent	General Lines	8/6/1998	12/27/1999
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/5/2013	9/22/2014

*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. 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
Residence	Not Public Information
Business / Home Office	Fall & Fall Insurance 101 Main Street P.O. Box 1167Fulton, KY 42041

Phone Information

Type	Phone
Business / Home Office	(270) 472-1061