DEPARTMENT OF INSURANCE

Name	Ackerman, Samuel M	DOIID	647982	NAIC NPN	2113908

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	1/25/2007	12/31/2024
Active	Non Resident	Agent	Casualty	1/25/2007	12/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/23/2007	12/31/2024

*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	10/15/2024	12/31/2024
Surplus Lines Broker	10/15/2024	12/31/2024

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
Business / Home Office	200 E Randolph St Chicago, IL 606016436
Residence	Not Public Information

Internet Information

Type	Address
Business Email	sam.ackerman@bankersinsuranceservice.com

Phone Information

Type	Phone
Business / Home Office	(312) 381-3770