DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pace, Chassidy Lee	DOIID	317089	NAIC NPN	7164407

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	7/24/2003
Inactive	Resident	Agent	Property	8/15/2000	7/24/2003
Inactive	Resident	Agent	Health	9/6/2000	7/24/2003
Inactive	Resident	Agent	General Lines	1/12/1999	8/15/2000
Inactive	Resident	Agent	Life	5/5/1999	7/24/2003
* 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	Dairyland Insurance Company	301370	Agent - Casualty	9/18/2000	7/24/2003
Inactive	Dairyland Insurance Company	301370	Agent - Property	9/18/2000	7/24/2003
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	8/2/2002
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	7/27/2000	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	8/2/2002
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	8/2/2002
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	7/27/2000	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	8/2/2002
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	9/6/2000	8/2/2002
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	7/27/2000	8/2/2002
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	1/12/1999	5/5/1999
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	1/12/1999	8/15/2000
Inactive	State Farm Life Insurance Company	301810	Agent - Life	5/5/1999	10/16/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	1/12/1999	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	9/11/2000	7/24/2003
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/8/2002	7/24/2003
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	8/23/2002
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	8/17/2002