DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Donna J	DOIID	352134	NAIC NPN	3222046

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	4/26/2012	3/1/2015
Inactive	Resident	Agent	Health	8/8/2005	7/1/2006
Inactive	Resident	Agent	Life	8/8/2005	7/1/2006
Inactive	Resident	Agent	Property	4/26/2012	3/1/2015
Inactive	Resident	Agent	General Lines	2/25/1988	8/15/2000
Inactive	Non Resident	Property & Casualty Consultant	Not Applicable	1/16/1990	2/28/2009
Inactive	Resident	Surplus Lines Broker	Not Applicable	11/30/2004	2/28/2005
* 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	Affiliated FM Insurance Company	300108	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Affiliated FM Insurance Company	300108	Agent - General Lines	10/31/1989	8/15/2000
Inactive	Affiliated FM Insurance Company	300108	Agent - Property	8/15/2000	7/1/2002
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	5/18/2001	7/1/2002
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	5/18/2001	7/1/2002
Inactive	American Home Assurance Company	300246	Agent - Casualty	8/15/2000	7/1/2002
Inactive	American Home Assurance Company	300246	Agent - General Lines	9/12/1996	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - Property	8/15/2000	7/1/2002
Denied	American and Foreign Insurance Company	301124	Agent - Casualty
Denied	American and Foreign Insurance Company	301124	Agent - Property
Denied	Arrowood Indemnity Company	300144	Agent - Casualty
Denied	Arrowood Indemnity Company	300144	Agent - Property
Inactive	Continental Casualty Company	301019	Agent - Casualty	5/18/2001	7/1/2002
Inactive	Continental Casualty Company	301019	Agent - Property	5/18/2001	7/1/2002
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Executive Risk Indemnity Inc.	301510	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Property	8/15/2000	7/1/2002
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Federal Insurance Company	301144	Agent - General Lines	2/26/1998	8/15/2000
Inactive	Federal Insurance Company	301144	Agent - Property	8/15/2000	7/1/2002
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	4/22/2003	7/1/2004
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	4/22/2003	7/1/2004
Inactive	Gerling America Insurance Company	301150	Agent - Casualty	11/29/2004	7/1/2006
Inactive	Gerling America Insurance Company	301150	Agent - Property	11/29/2004	7/1/2006
Denied	Globe Indemnity Company	300507	Agent - Casualty
Denied	Globe Indemnity Company	300507	Agent - Property
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/15/2000	8/1/2001
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	1/22/1999	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/15/2000	8/1/2001
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Great Northern Insurance Company	301107	Agent - General Lines	2/26/1998	8/15/2000
Inactive	Great Northern Insurance Company	301107	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	2/12/1998	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	2/12/1998	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	2/12/1998	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	2/12/1998	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	2/12/1998	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	7/1/2002
Inactive	Home Insurance Company (The)	301851	Agent - General Lines	5/1/1992	3/31/1996
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	9/12/1996	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/15/2000	3/31/2002
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Agent - General Lines	3/5/1991	8/15/2000
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	8/15/2000	7/1/2002
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	7/1/2002
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	2/25/1988	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	7/1/2002
Inactive	National Surety Corporation	300087	Agent - Casualty	4/22/2003	7/1/2004
Inactive	National Surety Corporation	300087	Agent - Property	4/22/2003	7/1/2004
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000	7/1/2002
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	9/12/1996	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000	7/1/2002
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Pacific Indemnity Company	301610	Agent - General Lines	2/26/1998	8/15/2000
Inactive	Pacific Indemnity Company	301610	Agent - Property	8/15/2000	7/1/2002
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	4/22/2003	7/1/2004
Inactive	Pie Insurance Company (The)	300514	Agent - Property	4/22/2003	7/1/2004
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	6/5/1992	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	6/5/1992	8/15/2000
Inactive	Reliance National Insurance Company	301675	Agent - General Lines	3/5/1998	8/15/2000
Inactive	Repwest Insurance Company	300987	Agent - General Lines	10/25/1994	3/31/1998
Denied	Royal Insurance Company of America	301120	Agent - Casualty
Denied	Royal Insurance Company of America	301120	Agent - Property
Denied	Safeguard Insurance Company	300800	Agent - Casualty
Denied	Safeguard Insurance Company	300800	Agent - Property
Inactive	Seaboard Surety Company	300510	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Seaboard Surety Company	300510	Agent - General Lines	9/7/1990	8/15/2000
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/15/2000	7/1/2002
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - General Lines	1/16/1998	8/15/2000
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/15/2000	7/1/2002
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	8/15/2000	7/1/2002
Inactive	St. Paul Guardian Insurance Company	301372	Agent - General Lines	1/16/1998	8/15/2000
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	8/15/2000	7/1/2002
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/15/2000	7/1/2002
Inactive	St. Paul Mercury Insurance Company	300783	Agent - General Lines	1/16/1998	8/15/2000
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/15/2000	7/1/2002
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	4/29/1994	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	7/1/2002
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Transportation Insurance Company	301575	Agent - General Lines	4/29/1994	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	7/1/2002
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	2/12/1998	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	7/1/2002
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	3/31/2004	7/1/2004
Inactive	Underwriters at Lloyd's, London	300658	Agent - General Lines	6/25/1999	8/15/2000
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	3/31/2004	7/1/2004
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	6/5/1992	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	4/29/1994	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	7/1/2002
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	2/26/1998	8/15/2000
Inactive	Vigilant Insurance Company	301143	Agent - Property	8/15/2000	7/1/2002
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	4/22/2003	7/1/2004
Inactive	WCF Select Insurance Company	301898	Agent - Property	4/22/2003	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AON Risk Services Inc. of Kentucky	400060	Agent - General Lines	11/20/1997	8/15/2000
Inactive	AON Risk Services Inc. of Kentucky	400060	Agent - Property	7/23/2001	7/1/2002
Inactive	AON Risk Services Inc. of Kentucky	400060	Agent - Casualty		7/1/2002
Inactive	Johnson & Higgins of Kentucky Inc.	398664	Agent - General Lines	9/19/1994	6/24/1998