DEPARTMENT OF INSURANCE

Affiliations

Name	Zurkuhlen, Donna Maria	DOIID	343164	NAIC NPN	7096831

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Casualty	1/13/2003	10/10/2003
Denied	Resident	Agent	Property	1/13/2003	10/10/2003
Inactive	Resident	Agent	Life	6/1/2000	9/30/2005
Inactive	Resident	Agent	Health	9/5/2000	9/30/2005
Inactive	Resident	Agent	General Lines	8/26/1999	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/12/2002	12/11/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/25/2002	12/11/2002
Inactive	American National Insurance Company	301861	Agent - Health	9/5/2000	9/30/2005
Inactive	American National Insurance Company	301861	Agent - Life	6/1/2000	9/30/2005
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	10/25/2000	1/17/2005
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	10/25/2000	1/17/2005
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	8/15/2000	9/5/2001
Inactive	American National Property and Casualty Company	300392	Agent - General Lines	8/26/1999	8/15/2000
Inactive	American National Property and Casualty Company	300392	Agent - Property	8/15/2000	9/5/2001
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/30/2001	7/7/2005
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/5/2000	7/25/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	7/13/2000	7/25/2002
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	10/5/2001	9/30/2005
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	9/5/2000	12/30/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	8/14/2000	12/30/2002
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	1/13/2003	10/10/2003
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	1/13/2003	10/10/2003
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	1/13/2003	10/10/2003
Inactive	State Farm General Insurance Company	301122	Agent - Property	1/13/2003	10/10/2003
Inactive	State Farm Life Insurance Company	301810	Agent - Life	11/14/2002	10/10/2003
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	1/13/2003	10/10/2003
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/13/2002	10/10/2003
Denied	Time Insurance Company	300683	Agent - Health
Denied	Time Insurance Company	300683	Agent - Life
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	2/13/2001	8/15/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	2/13/2001	8/15/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Benefit Resources, Inc.	545033	Agent - Life	3/12/2002	4/22/2002
Inactive	Corporate Benefit Resources, Inc.	545033	Agent - Health	3/12/2002	4/22/2002