DEPARTMENT OF INSURANCE

Name	Legacy Marketing Group	DOIID	401328	NAIC NPN	661435

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	12/16/1997	1/23/2009
Active	Non Resident	Agent	Life	1/23/1995		3/31/2025
Active	Non Resident	Agent	Health	7/27/2000		3/31/2025

*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	01/15/2025	03/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Mailing	2090 N. Marina Avenue Petaluma, CA 94954
Business / Home Office	2090 N. Marina Avenue Petaluma, CA 94954

Phone Information

Type	Phone
Business / Home Office	(800) 395-1053 Ext-6843