DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keene, David Howard	DOIID	319417	NAIC NPN	7167518

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	10/20/1999	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	12/31/2007
* 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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/2/2001	11/15/2004
Inactive	Liberty Life Insurance Company	301542	Agent - Limited Line Credit	7/16/2001	6/28/2002
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	10/20/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	12/31/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Service Corporation of Elizabethtown	398442	Agent - Limited Line Credit	8/11/2003	1/19/2005