DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Jeannie	DOIID	349596	NAIC NPN	7191267

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/20/2004	9/30/2004
Inactive	Resident	Agent	General Lines	11/17/1994	8/15/2000
Inactive	Resident	Agent	Life	9/14/2003	9/30/2004
Inactive	Resident	Agent	Property	9/18/2003	9/30/2004
Inactive	Resident	Agent	Casualty	9/18/2003	5/31/2006
* 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	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/20/2002	7/12/2003
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/20/2002	7/12/2003
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	8/15/2000	7/12/2003
Inactive	Cincinnati Insurance Company	301298	Agent - General Lines	7/13/1998	8/15/2000
Inactive	Cincinnati Insurance Company	301298	Agent - Property	8/15/2000	7/12/2003
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/14/1998	6/9/2003
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	7/12/2003
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	12/1/1999	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	7/12/2003
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	7/27/1998	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	10/11/2001
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	8/15/2000	7/12/2003
Inactive	Farmers Insurance Exchange	300336	Agent - General Lines	9/21/1999	8/15/2000
Inactive	Farmers Insurance Exchange	300336	Agent - Property	8/15/2000	7/12/2003
Inactive	Farmers New World Life Insurance Company	300536	Agent - Life	6/10/2002	7/12/2003
Inactive	First Mutual Insurance Company	301258	Agent - Casualty	10/19/2000	12/1/2000
Inactive	First Mutual Insurance Company	301258	Agent - Property	10/19/2000	12/1/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	8/15/2000	7/12/2003
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	9/20/1999	8/15/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/15/2000	7/12/2003
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	7/12/2003
Inactive	Indiana Insurance Company	301909	Agent - General Lines	12/1/1999	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	7/12/2003
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	7/9/2002
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	5/9/2000	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	7/9/2002
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	7/12/2003
Inactive	Maryland Casualty Company	301719	Agent - General Lines	9/20/1999	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	7/12/2003
Inactive	Nationwide Assurance Company	300166	Agent - General Lines	12/9/1994	11/4/1996
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/20/1994	4/22/1996
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/20/1994	4/22/1996
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - General Lines	11/17/1994	4/22/1996
Inactive	Nationwide Mutual Insurance Company	301749	Agent - General Lines	11/17/1994	4/22/1996
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - General Lines	11/17/1994	4/22/1996
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	7/12/2003
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	12/1/1999	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	7/12/2003
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	7/12/2003
Inactive	Peerless Insurance Company	301910	Agent - General Lines	12/1/1999	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	7/12/2003
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	9/18/2003	8/20/2004
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	3/25/1996	2/15/1999
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	9/18/2003	8/20/2004
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	9/18/2003	5/31/2006
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	3/25/1996	2/15/1999
Inactive	State Farm General Insurance Company	301122	Agent - Property	9/18/2003	8/20/2004
Inactive	State Farm Life Insurance Company	301810	Agent - Life	9/14/2003	8/20/2004
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	9/18/2003	8/20/2004
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	3/25/1996	2/15/1999
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	1/20/2004	8/20/2004
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/20/2002	7/12/2003
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/20/2002	7/12/2003
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	7/12/2003
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	7/12/2003
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	5/20/2002	7/12/2003
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	5/20/2002	7/12/2003
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/20/2002	7/12/2003
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/20/2002	7/12/2003
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/20/2002	7/12/2003
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/20/2002	7/12/2003
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	5/20/2002	7/12/2003
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	5/20/2002	7/12/2003
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	7/12/2003
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	7/12/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Terri Sparks Insurance Agency	581831	Agent - Life	12/29/2003	8/20/2004
Inactive	Terri Sparks Insurance Agency	581831	Agent - Property	12/29/2003	8/20/2004
Inactive	Terri Sparks Insurance Agency	581831	Agent - Casualty	12/29/2003	1/14/2005
Inactive	Thoroughbred Associates Inc.	399133	Agent - Life	12/31/1999	7/12/2003
Inactive	Thoroughbred Associates Inc.	399133	Agent - General Lines	12/31/1999	8/15/2000
Inactive	Thoroughbred Associates Inc.	399133	Agent - Property	8/15/2000	6/4/2003
Inactive	Thoroughbred Associates Inc.	399133	Agent - Casualty	8/15/2000	6/4/2003