DEPARTMENT OF INSURANCE

Affiliations

Name	Shales, Donna Pace	DOIID	309257	NAIC NPN	7159765

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/9/1998	5/31/2004
Inactive	Non Resident	Agent	Casualty	8/15/2000	5/31/2004
Inactive	Non Resident	Agent	Property	8/15/2000	5/31/2004
Inactive	Non Resident	Agent	General Lines	8/14/2000	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	American Enterprise Life Insurance Company	300262	Agent - Life	3/4/1999	12/23/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	5/1/2000	5/31/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/15/2002	5/31/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	8/14/2000	8/14/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	5/31/2004
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	8/14/2000	8/14/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	5/31/2004
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	8/14/2000	8/14/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	5/31/2004
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	8/14/2000	8/14/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	5/31/2004
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	8/14/2000	8/14/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	5/31/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/5/1999	5/31/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	8/14/2000	8/14/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	5/31/2004
Inactive	Western National Life Insurance Company	300461	Agent - Life	12/9/1998	8/27/2003
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	5/1/2000	10/17/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PFIC Corporation of Kentucky	399873	Agent - Life	6/20/2000	3/30/2003