DEPARTMENT OF INSURANCE

Name	Bufkin Hefferon & Siegel Inc	DOIID	726634	NAIC NPN	957236

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	Health	4/16/2010	4/4/2016
Inactive	Non Resident	Agent	Life	4/16/2010	4/4/2016

*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	275 Madison Avenue Ste 1914New York, NY 10016

Internet Information

Type	Address
Business Email	pam.dunnuck@ashbrokerage.com

Phone Information

Type	Phone
Business / Home Office	(260) 478-0697