DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Schultz, Michael Joseph	DOIID	308649	NAIC NPN	7159469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/27/1996	10/30/2001
* 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	American Memorial Life Insurance Company	301445	Agent - Life	4/28/1999	8/9/2001
Inactive	Forethought Life Insurance Company	301407	Agent - Life	11/27/1996	7/24/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arch L. Heady & Son Gold Key Inc.	400088	Agent - Life	9/30/1988	9/30/1996
Inactive	Sentinel Security Plans Inc.	398097	Agent - Life	6/29/1995	9/30/1996