DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Kimberly Erlene	DOIID	326433	NAIC NPN	7172677

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	5/8/1998	7/2/2002
Inactive	Resident	Agent	General Lines	8/12/1998	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	7/2/2002
Inactive	Resident	Agent	Health	8/6/1997	7/2/2002
Inactive	Resident	Agent	Casualty	8/15/2000	7/2/2002
* 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	AmTrust Insurance Company	300179	Agent - Casualty	8/15/2000	7/2/2002
Inactive	AmTrust Insurance Company	300179	Agent - General Lines	6/5/2000	8/15/2000
Inactive	AmTrust Insurance Company	300179	Agent - Property	8/15/2000	7/2/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Health	8/6/1997	10/24/1997
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/13/2001	7/2/2002
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/13/2001	7/2/2002
Inactive	Countryway Insurance Company	300809	Agent - Casualty	8/15/2000	7/2/2002
Inactive	Countryway Insurance Company	300809	Agent - General Lines	6/26/2000	8/15/2000
Inactive	Countryway Insurance Company	300809	Agent - Property	8/15/2000	7/2/2002
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/15/2000	10/1/2001
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	5/30/2000	8/15/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	8/15/2000	10/1/2001
Inactive	Gulf Insurance Company	300761	Agent - Casualty	9/28/2000	7/2/2002
Inactive	Gulf Insurance Company	300761	Agent - Property	9/28/2000	7/2/2002
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/13/2001	7/2/2002
Inactive	Indiana Insurance Company	301909	Agent - Property	12/13/2001	7/2/2002
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	5/8/1998	5/20/1999
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	10/28/1997	12/23/1998
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/13/2001	7/2/2002
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/13/2001	7/2/2002
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/13/2001	7/2/2002
Inactive	Peerless Insurance Company	301910	Agent - Property	12/13/2001	7/2/2002
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	9/18/2001
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	8/12/1998	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	9/18/2001
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	1/25/1999	7/2/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	1/25/1999	7/2/2002
Inactive	Security National Insurance Company	301151	Agent - Casualty	8/15/2000	7/2/2002
Inactive	Security National Insurance Company	301151	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Security National Insurance Company	301151	Agent - Property	8/15/2000	7/2/2002
Inactive	Time Insurance Company	300683	Agent - Health	3/18/1999	7/2/2002
Inactive	Time Insurance Company	300683	Agent - Life	3/18/1999	7/2/2002
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	8/15/2000	7/2/2002
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	8/15/2000	7/2/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/7/2002	7/1/2002
Inactive	Riddle Insurance LLC	401239	Agent - Life	8/24/2000	7/1/2002
Inactive	Riddle Insurance LLC	401239	Agent - Health	8/24/2000	7/1/2002
Inactive	Riddle Insurance LLC	401239	Agent - Property	8/15/2000	7/1/2002
Inactive	Riddle Insurance LLC	401239	Agent - Casualty	8/15/2000	7/1/2002