DEPARTMENT OF INSURANCE

Name	Rebsamen Insurance/Springdale, Inc.	DOIID	502038	NAIC NPN	1651507

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	2/24/2000	8/15/2000
Inactive	Non Resident	Agent	Property	4/18/2005	2/9/2007
Inactive	Non Resident	Agent	Casualty	4/18/2005	2/9/2007

*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	1465 E Joyce Blvd Ste 205 Fayetteville, AR 72703
Mailing	1465 E Joyce Blvd Ste 205 Fayetteville, AR 72703

Internet Information

Type	Address
Internet	www.rebsamen.com
Business Email	FredStone@rebsamen.com

Phone Information

Type	Phone
Fax	(501) 756-6896
Business / Home Office	(479) 684-5250