DEPARTMENT OF INSURANCE

Affiliations

Name	Nichols, Donna Thacker	DOIID	368155	NAIC NPN	7199384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	3/29/2002	4/30/2013
Inactive	Resident	Agent	Casualty	3/29/2002	4/30/2013
Inactive	Resident	Agent	General Lines	8/4/1997	3/31/2000
* 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	AXA XL Insurance Company Americas	300979	Agent - General Lines	8/4/1997	3/31/2000
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/6/2006	4/30/2013
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/6/2006	4/30/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	4/30/2013
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	4/30/2013
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	9/13/2010	2/2/2012
Inactive	Dairyland Insurance Company	301370	Agent - Property	9/13/2010	2/2/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	4/30/2013
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	4/30/2013
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	10/16/2007	4/30/2013
Inactive	Kentucky National Insurance Company	301625	Agent - Property	10/16/2007	4/30/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	4/30/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	4/30/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/29/2002	4/30/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/29/2002	4/30/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/6/2006	4/30/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/6/2006	4/30/2013
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	4/30/2013
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	4/30/2013
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	4/30/2013
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	4/30/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	4/6/2006	4/30/2013
Inactive	West American Insurance Company	301112	Agent - Property	4/6/2006	4/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Elite Agency, Inc.	398505	Agent - Casualty	2/16/2004	5/14/2013
Inactive	The Elite Agency, Inc.	398505	Agent - Property	2/16/2004	5/14/2013