DEPARTMENT OF INSURANCE

Name	Bundy, Charles Shane	DOIID	387118	NAIC NPN	7207675

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	12/3/2020		7/31/2024
Active	Resident	Agent	Life	12/3/2020		7/31/2024
Active	Resident	Agent	Property	12/3/2020		7/31/2024
Active	Resident	Agent	Health	12/3/2020		7/31/2024
Inactive	Resident	Agent	Limited Line Credit	12/7/2001	9/30/2004

*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	05/15/2024	07/31/2024

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
Residence	Not Public Information
Business / Home Office	323 River Bend Drive London, KY 40744

Internet Information

Type	Address
Internet	sbundy9@gmail.com

Phone Information

Type	Phone
Business / Home Office	(606) 224-6035