DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, David B	DOIID	304549	NAIC NPN	7157692

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	9/30/2006
Inactive	Resident	Agent	Credit Life & Health	8/26/1999	8/7/2000
* 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	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	8/26/1999	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	9/30/2006
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	5/9/2005	11/2/2006
Inactive	Omaha Health Insurance Company	301296	Agent - Limited Line Credit	6/25/2001	9/3/2002
Inactive	Protective Life Insurance Company	300638	Agent - Limited Line Credit	8/2/2005	9/30/2006
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Limited Line Credit	5/28/2002	8/2/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Campbell Chevrolet of Bowling Green KY Inc.	400386	Agent - Limited Line Credit	2/12/2003	9/30/2006