DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sholar, Clyde Jefferson	DOIID	363427	NAIC NPN	7197375

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
* 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	Forethought Life Insurance Company	301407	Agent - Life	10/2/1990	7/20/2005
Inactive	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	7/25/2005	9/1/2008
Inactive	Lincoln Memorial Life Insurance Company	300463	Agent - Life	7/24/2007	9/1/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National Prearranged Services Inc.	510986	Agent - Life	1/21/2004	3/2/2007