DEPARTMENT OF INSURANCE

Name	Coombs, Shannon	DOIID	319877	NAIC NPN	7167736

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/26/2013	5/1/2015
Inactive	Resident	Agent	Credit Life & Health	8/26/1998	8/7/2000
Pending Replacement	Resident	Agent	Limited Line Credit	8/30/2022		4/30/2025

*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	02/15/2025	04/30/2025

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	Commonwealth Community Bank 830 S Main St Po Box 225Hartford, KY 42347
Residence	Not Public Information

Internet Information

Type	Address
Business Email	SCOOMBS@CWCBANK.COM

Phone Information

Type	Phone
Business / Home Office	(270) 298-3261