DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gillum, Donna M	DOIID	386796	NAIC NPN	7207561

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	9/23/2014	1/31/2019
Inactive	Resident	Agent	Credit Life & Health	8/3/1992	8/7/2000
* 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	American National Insurance Company	301861	Agent - Limited Line Credit	3/4/2015	3/1/2019
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	1/5/2009	1/31/2013
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	2/18/2003	2/28/2005
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	10/2/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	2/28/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	8/3/1992	9/28/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Town Square Bank	399399	Agent - Limited Line Credit	5/22/2012	1/31/2013
Inactive	Town Square Bank, Inc.	502860	Agent - Limited Line Credit	3/4/2015	3/31/2016