DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cornell, Charles Douglas	DOIID	348539	NAIC NPN	7190784

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	11/2/1993	8/15/2000
Inactive	Resident	Independent Adjuster	Property & Casualty	12/13/2001	8/31/2011
* 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 - General Lines	11/2/1993	6/5/2000
Inactive	Security National Insurance Company	301151	Agent - General Lines	11/2/1993	6/5/2000
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	11/2/1993	6/5/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky National Insurance Company	301625	Independent Adjuster - Property & Casualty	7/16/1992	12/31/1997
Inactive	Kinkade-Cornell Ins Agency Inc	401041	Agent - General Lines	3/3/1995	8/15/2000
Inactive	Mcintyre Gilligan & Mundt Inc	401235	Independent Adjuster - Property & Casualty	12/13/2001	8/31/2011