DEPARTMENT OF INSURANCE

Name	Clark Agency, Inc.	DOIID	706798	NAIC NPN	14057976

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Resident	Agent	Casualty	6/1/2009	3/31/2027
Pending Replacement	Resident	Agent	Property	6/1/2009	3/31/2027
Pending Replacement	Resident	Agent	Health	6/1/2009	3/31/2027
Pending Replacement	Resident	Agent	Life	6/1/2009	3/31/2027

*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	01/15/2027	03/31/2027

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

Address Information

Type	Address
Business / Home Office	152 Old Paris Road Carlisle, KY 40311

Internet Information

Type	Address
Business Email	BCLARK@AGENT.SHELTERINSURANCE.COM

Phone Information

Type	Phone
Business / Home Office	(859) 289-2500