DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kilpatrick, Dawn	DOIID	360652	NAIC NPN	3207788

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/31/2017	4/6/2020
Inactive	Non Resident	Agent	General Lines	11/23/1999	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/31/2017	4/6/2020
Inactive	Non Resident	Agent	Property	8/31/2017	4/6/2020
Inactive	Non Resident	Agent	Health	8/31/2017	4/6/2020
* 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	AMEX Assurance Company	301728	Agent - Casualty	11/16/2017	4/4/2019
Inactive	AMEX Assurance Company	301728	Agent - Health	11/16/2017	4/4/2019
Inactive	AMEX Assurance Company	301728	Agent - Property	11/16/2017	4/4/2019
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	4/21/2011	2/29/2016
Inactive	Progressive Direct Insurance Company	301379	Agent - General Lines	11/23/1999	8/15/2000
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	4/21/2011	2/29/2016
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	11/19/2003
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	11/23/1999	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	11/19/2003
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/6/2007	12/11/2009
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	11/23/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/6/2007	12/11/2009
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	8/15/2000	11/19/2003
Inactive	Progressive Specialty Insurance Company	300797	Agent - General Lines	11/23/1999	8/15/2000
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	8/15/2000	11/19/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Property	4/21/2011	2/29/2016
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	4/21/2011	2/29/2016
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	7/3/2007	3/9/2010
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	7/3/2007	3/9/2010