Search → DISTINGUISHED PRIZE INDEMNITY LLC
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
DISTINGUISHED PRIZE INDEMNITY LLC
NON-RESIDENT PRODUCER AGENCY
License Number:
AGN344282
Status:
First Licensure:
11/16/2019
Cancel Date:
None
Renewal Date:
04/01/2027
Street Location:
303 W SHADBURN AVE
BUFORD, GA 30518-2657
BUFORD, GA 30518-2657
Mailing:
303 W SHADBURN AVE
BUFORD, GA 30518-2657
BUFORD, GA 30518-2657
Phone:
+1 (800) 822-2257
Fax:
+1 (800) 822-2257
Email:
devin.gorby@doxa.com
| License Type | Start Date | End Date |
|---|---|---|
| NON-RESIDENT PRODUCER AGENCY | 11/16/2019 | 04/01/2027 |
| Name |
|---|
| AMERICAN HOLE 'N ONE |
| GRAND PRIZE PROMOTIONS |
| NATIONAL HOLE 'N ONE |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| EVEREST DENALI INSURANCE COMPANY |
10/26/2020 | PCF289213 | ||
| EVEREST NATIONAL INSURANCE COMPANY |
10/26/2020 | PCF99574 | ||
| EVEREST PREMIER INSURANCE COMPANY |
10/26/2020 | PCF289214 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| WADE TRAVIS RACZYNSKI |
06/27/2020 | PRN355797 |
Branch Office
None.
Supervised Entity
None.
| Name | License Number |
|---|---|
| ADOLFO RICARDO RUIZ JR | PRN436284 |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
19151549
An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.
Date: 03/09/2026 08:29:51 PM
