black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

OLD REPUBLIC AEROSPACE INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN158252
Status:
First Licensure:
09/23/2008
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2015 VAUGHN RD NW STE 300
KENNESAW, GA 30144-7802
Mailing:
2015 VAUGHN RD NW STE 300
KENNESAW, GA 30144-7802
Phone:
+1 (770) 590-4950
Fax:
+1 (770) 590-0599
Email:
licenserequest@oldrepublic.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/23/2008 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
OLD REPUBLIC INSURANCE COMPANY
05/01/2010 PCF543
PENNSYLVANIA MANUFACTURERS' ASSOCIATION INSURANCE COMPANY
03/20/2014 PCF82421

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
CRAIG BYRON BENN
10/21/2011 PRN196193
DANIEL CARL BULLARD
06/03/2013 PRN181130
GARY EUGENE CHURCHILL
10/04/2013 PRN222851
WESLEY N. COLLIER
06/27/2014 PRN234431
JOHN J. DANILOV
04/28/2022 PRN401836
NICHOLAS DAVIES
04/28/2022 PRN329432
BRIAN M. DONNELLY
01/24/2015 PRN245331
JOHN THOMAS HELMS
09/21/2012 PRN101030
DANIEL JOSEPH KIMBREL
02/09/2024 PRN475999
JEFFREY MOITOZO
04/28/2022 PRN147235
KARLIE BROOKE WHITTED
06/30/2022 PRN422656
ALISON FINDLAY ZARELLI
06/30/2022 PRN422664

Branch Office

Name Issue Date License Number Expiration Date Cancel Date
PHOENIX AVIATION MANAGERS INC (DALLAS TX)
08/26/2013 BRN220530
PHOENIX AVIATION MANAGERS INC (NAPERVILLE IL)
08/26/2013 BRN220532
PHOENIX AVIATION MANAGERS INC (NEW YORK NY)
08/26/2013 BRN220531
PHOENIX AVIATION MANAGERS INC (RENTON WA)
08/26/2013 BRN220533

Supervised Entity

None.

Responsible Individual

Name License Number
JOHN THOMAS HELMS PRN101030

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2102365

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: 05/24/2025 07:52:25 PM