DEPARTMENT OF INSURANCE

Affiliations

Name	Kirk, Antoinette C	DOIID	548292	NAIC NPN	7233599

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	7/23/2002	4/30/2027
Active	Resident	Agent	Variable Life and Variable Annuities	7/15/2003	4/30/2027
Active	Resident	Agent	Limited Line Credit	4/15/2002	4/30/2027
Active	Resident	Agent	Casualty	7/18/2006	4/30/2027
Active	Resident	Agent	Property	7/18/2006	4/30/2027
Denied	Resident	Agent	Health
Active	Resident	Surplus Lines Broker	Not Applicable	7/12/2019	4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025	02/25/2025	02/25/2025	Yes
Surplus Lines Broker	02/15/2025	04/30/2025	03/29/2025	03/29/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	3/24/2023
Active	AGCS Marine Insurance Company	300403	Agent - Property	3/24/2023
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	7/27/2006	3/12/2007
Inactive	Allstate Indemnity Company	300778	Agent - Property	7/27/2006	3/12/2007
Inactive	Allstate Insurance Company	300773	Agent - Casualty	7/27/2006	3/12/2007
Inactive	Allstate Insurance Company	300773	Agent - Property	7/27/2006	3/12/2007
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	7/27/2006	3/12/2007
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	7/27/2006	3/12/2007
Inactive	American Economy Insurance Company	300315	Agent - Casualty	2/18/2022	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	2/18/2022	3/29/2024
Inactive	Augustar Life Insurance Company	301816	Agent - Life	7/29/2005	2/22/2006
Inactive	Augustar Life Insurance Company	301816	Agent - Variable Life and Variable Annuities	7/29/2005	2/22/2006
Inactive	Banc One Kentucky Insurance Company	300824	Agent - Limited Line Credit	4/15/2002	1/20/2004
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	9/14/2010	12/31/2024
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	9/14/2010	12/31/2024
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/21/2003	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Variable Life and Variable Annuities	11/21/2003	4/1/2007
Active	Encompass Insurance Company	300188	Agent - Casualty	12/9/2024
Active	Encompass Insurance Company	300188	Agent - Property	12/9/2024
Inactive	Everlake Life Insurance Company	300873	Agent - Life	7/27/2006	3/12/2007
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	7/27/2006	3/12/2007
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	3/24/2023
Active	Fireman's Fund Insurance Company	301423	Agent - Property	3/24/2023
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	8/12/2002	11/18/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	8/6/2002	12/22/2003
Active	National Casualty Company	301483	Agent - Casualty	7/1/2010
Active	National Casualty Company	301483	Agent - Property	7/1/2010
Denied	Nationwide Life Insurance Company	300495	Agent - Health
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	7/23/2002	11/6/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	7/25/2003	11/6/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/25/2003	11/6/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	7/25/2003	11/6/2006
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	1/28/2004	8/14/2006
Inactive	Pacific Life Insurance Company	301848	Agent - Life	9/10/2003	8/11/2008
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	9/10/2003	8/11/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/21/2007	8/14/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/21/2007	8/14/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/21/2007	8/14/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/21/2007	8/14/2008
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	8/21/2008
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	4/1/2007	8/21/2008
Active	Scottsdale Indemnity Company	300232	Agent - Casualty	7/1/2010
Active	Scottsdale Indemnity Company	300232	Agent - Property	7/1/2010
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	4/5/2010	6/14/2010
Inactive	Shelter General Insurance Company	301109	Agent - Property	4/5/2010	6/14/2010
Inactive	Shelter Life Insurance Company	300391	Agent - Life	4/5/2010	6/14/2010
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	4/5/2010	6/14/2010
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	4/5/2010	6/14/2010
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/25/2008	6/16/2009
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/25/2008	6/16/2009
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/25/2008	6/16/2009
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/25/2008	6/16/2009
Inactive	State Farm Life Insurance Company	301810	Agent - Life	8/25/2008	6/16/2009
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/25/2008	6/16/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/30/2005	8/18/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	7/28/2003	12/22/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	12/2/2003	4/3/2006
Inactive	Western National Life Insurance Company	300461	Agent - Variable Life and Variable Annuities	7/25/2003	11/25/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	4/6/2010	6/14/2010
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	4/6/2010	6/14/2010
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	4/6/2010	6/14/2010
Inactive	National City Insurance Group Inc.	399045	Agent - Life	8/13/2004	8/21/2008
Active	Risk Placement Services Inc	509419	Agent - Casualty	4/9/2015
Active	Risk Placement Services Inc	509419	Agent - Property	4/9/2015
Active	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	7/18/2019