DEPARTMENT OF INSURANCE

Name	Puremark Inc	DOIID	642432	NAIC NPN	8483283

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life	12/26/2006	3/31/2008

*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	1100 N. 4th Street Suite #11Fairfield, IA 52556
Mailing	PO Box 1309 Fairfield, IA 52556

Internet Information

Type	Address
Business Email	clyde@randallmarketinggroup.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(641) 209-6512