DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Gene Steven	DOIID	332591	NAIC NPN	7180513

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	10/7/1997	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	1/9/2006	7/31/2007
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	10/17/2006	7/31/2007
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Limited Line Credit	9/5/2002	7/25/2005
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	11/9/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	7/31/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	10/7/1997	11/9/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Car Outlet Inc.	399593	Agent - Credit Life & Health	12/30/1998	8/7/2000
Inactive	Car Outlet Inc.	399593	Agent - Limited Line Credit	8/7/2000	2/19/2003
Inactive	Pennyrile Ford Lincoln Mercury, Inc.	556785	Agent - Limited Line Credit	10/17/2006	7/31/2007