DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Stacy Ann	DOIID	362168	NAIC NPN	7196842

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/8/2003	12/31/2005
Inactive	Resident	Agent	Credit Personal Property & Unemployment	8/1/1998	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	8/1/1998	8/7/2000
Inactive	Resident	Agent	Debtors Life	12/13/1999	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	12/31/2005
* 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	Citizens Security Life Insurance Company	301257	Agent - Limited Line Credit	1/2/2002	12/11/2002
Inactive	First Colonial Insurance Company	300752	Agent - Limited Line Credit	4/1/2002	12/11/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	7/17/2001	12/31/2005
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/6/2003	3/24/2005
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	2/12/2004	12/31/2005
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Credit Personal Property & Unemployment	8/1/1998	8/7/2000
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Limited Line Credit	8/7/2000	12/18/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/8/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Debtors Life	12/13/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	11/24/2000
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	8/1/1998	9/3/1998
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Credit Personal Property & Unemployment	9/22/1998	8/7/2000
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Limited Line Credit	8/7/2000	4/1/2002
Inactive	Western National Life Insurance Company	300461	Agent - Life	8/19/2003	12/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National City Insurance Group Inc.	399045	Agent - Life	8/13/2004	2/28/2005
Inactive	U.S. Bancorp Consumer Finance of Kentucky	399141	Agent - Credit Life & Health	5/19/1999	8/7/2000
Inactive	U.S. Bancorp Consumer Finance of Kentucky	399141	Agent - Credit Personal Property & Unemployment	5/19/1999	8/7/2000
Inactive	U.S. Bancorp Consumer Finance of Kentucky	399141	Agent - Limited Line Credit	8/7/2000	2/12/2003