DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Domke II, John Phillip	DOIID	390235	NAIC NPN	7209010

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	9/20/1994	8/7/2000
Inactive	Resident	Agent	Credit Personal Property & Unemployment	5/22/1996	3/31/1998
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	9/30/2003
Inactive	Resident	Agent	Mortgage Redemption	8/13/1996	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 General Assurance Company	300586	Agent - Limited Line Credit	8/7/2000	12/11/2002
Inactive	American General Assurance Company	300586	Agent - Mortgage Redemption	8/13/1996	8/7/2000
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Credit Life & Health	9/20/1994	3/8/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	12/10/1998	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	9/30/2003
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	12/10/1998	8/7/2000
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	4/25/1996	3/31/1999
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/26/1998	2/15/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	4/7/1998	9/22/1998
Inactive	Union Security Life Insurance Company	300903	Agent - Credit Life & Health	12/13/1994	3/8/1996
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Credit Personal Property & Unemployment	5/22/1996	3/31/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Kentucky Bank	399991	Agent - Credit Life & Health	4/27/1998	12/23/1998