DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Shirley R	DOIID	328511	NAIC NPN	7175565

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2002
Inactive	Resident	Agent	Property	8/15/2000	7/1/2002
Inactive	Resident	Agent	General Lines	7/31/1980	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 Select Insurance Company	301229	Agent - Casualty	3/23/2001	7/1/2002
Inactive	American Select Insurance Company	301229	Agent - Property	3/23/2001	7/1/2002
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	3/5/1990	4/20/1999
Inactive	Great American Assurance Company	300327	Agent - General Lines	9/1/1993	4/20/1999
Inactive	Great American Insurance Company	301586	Agent - General Lines	7/20/1988	4/20/1999
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	7/20/1988	4/20/1999
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	5/6/2002
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	7/31/1980	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	5/6/2002
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	2/9/1989	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	7/1/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	7/1/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	9/30/1983	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	7/1/2002
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Westfield Insurance Company	301950	Agent - General Lines	2/9/1989	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Property	8/15/2000	7/1/2002
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	2/9/1988	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Property	8/15/2000	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Logan-Blythe Insurance Agency Inc.	400977	Agent - General Lines	2/23/1988	8/15/2000
Inactive	Logan-Blythe Insurance Agency Inc.	400977	Agent - Property	8/15/2000	7/1/2002
Inactive	Logan-Blythe Insurance Agency Inc.	400977	Agent - Casualty	8/15/2000	7/1/2002