Individual Information

KRISTOFER MICHAEL ROE

Address:

OAK RIDGE, TN 37831-0800

Status:

Active

Email:

kristofer.roe@cornerstonegrp.us

Date:

05/09/2011

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	753655	05/09/2011	Active	05/09/2011	05/31/2026
Non-Res. Motor Club Agt/Agy	916013	10/28/2013	Active	10/28/2013	10/31/2025
Non-Res. Surplus Lines Broker	3768116	02/02/2022	Active	02/02/2022	02/28/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/09/2011	Active	05/09/2011
Health	04/05/2022	Active	04/05/2022
Life	04/05/2022	Active	04/05/2022
Motor Club	10/28/2013	Active	10/28/2013
Property	05/09/2011	Active	05/09/2011
Surplus Lines	02/02/2022	Active	02/02/2022

Company Name	Appointment Type	Status	Active Date
1634
ACCREDITED SURETY AND CASUALTY COMPANY INC	Casualty	Active	08/30/2022
	Property	Active	08/30/2022
104742
Company Name	Appointment Type	Status	Active Date
AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS	Casualty	Active	06/01/2011
	Property	Active	06/01/2011
1468
Company Name	Appointment Type	Status	Active Date
HALLMARK INSURANCE COMPANY	Casualty	Active	07/22/2011
	Property	Active	07/22/2011

row(s) 1 - 6 of 6

Organization	Association Type	Type	Beg dte	End dte
CORNERSTONE ADMINISTRATORS LLC	Designated Resp Lic Prdcr	Agency	01/27/2022	-

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