DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Boucher, Tracy Todd	DOIID	352572	NAIC NPN	5947976

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/15/2000	6/21/2001
Inactive	Non Resident	Agent	Life	7/10/2000	6/21/2001
Inactive	Non Resident	Agent	Health	7/10/2000	6/21/2001
Inactive	Non Resident	Agent	General Lines	6/10/1997	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	6/21/2001
* 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	Shelter General Insurance Company	301109	Agent - Casualty	8/15/2000	6/21/2001
Inactive	Shelter General Insurance Company	301109	Agent - General Lines	6/10/1997	8/15/2000
Inactive	Shelter General Insurance Company	301109	Agent - Property	8/15/2000	6/21/2001
Inactive	Shelter Life Insurance Company	300391	Agent - Health	7/10/2000	6/21/2001
Inactive	Shelter Life Insurance Company	300391	Agent - Life	7/10/2000	6/21/2001
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	8/15/2000	6/21/2001
Inactive	Shelter Mutual Insurance Company	301870	Agent - General Lines	6/10/1997	8/15/2000
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	8/15/2000	6/21/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	4/19/2001	6/21/2001
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	4/19/2001	6/21/2001
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	8/15/2000	6/21/2001
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	8/15/2000	6/21/2001