DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Leatherman, Kenneth Roy	DOIID	1281159	NAIC NPN	6263846

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/20/2023		8/31/2025
Active	Non Resident	Agent	Health	6/20/2023		8/31/2025
Active	Non Resident	Agent	Life	6/20/2023		8/31/2025
Active	Non Resident	Agent	Casualty	6/20/2023		8/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/29/2023		8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assuredpartners Of Oregon LLC	905764	Agent - Casualty
Denied	Assuredpartners Of Oregon LLC	905764	Agent - Property
Active	Assuredpartners Of Oregon LLC	905764	Surplus Lines Broker - Not Applicable	8/17/2023