DEPARTMENT OF INSURANCE

Name	Pelecky, Marcy	DOIID	982149	NAIC NPN	18005297

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	1/22/2018	12/14/2022
Inactive	Non Resident	Agent	Life	1/22/2018	12/14/2022
Inactive	Non Resident	Agent	Casualty	1/22/2018	12/14/2022
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	2/18/2021	10/5/2022

*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. 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
Residence	Not Public Information
Business / Home Office	5749 Glendavon Loop Dublin, OH 430166156

Phone Information

Type	Phone
Business / Home Office	(303) 513-3507