DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shadburne, David Lewis	DOIID	351630	NAIC NPN	7192181

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/15/2000	9/1/2010
Inactive	Resident	Agent	Health	3/15/2000	9/1/2010
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	8/31/2010
Inactive	Resident	Agent	Credit Life & Health	9/27/1999	8/7/2000
* 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	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	9/27/1999	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	3/15/2000	9/1/2010
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	3/15/2000	9/1/2010
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	8/31/2010
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	1/1/2005	6/8/2009
Inactive	Protective Life Insurance Company	300638	Agent - Health	5/14/2004	6/7/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/14/2004	6/7/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Banking Centers Inc.	399997	Agent - Life	2/9/2005	3/31/2008
Inactive	Kentucky Banking Centers Inc.	399997	Agent - Health	2/9/2005	3/31/2008
Inactive	PBI Bank	399067	Agent - Limited Line Credit	1/31/2007	3/31/2010
Inactive	PBI Bank, Inc	558522	Agent - Limited Line Credit	2/26/2007	8/31/2010