DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moseley Jr, Gayle Garnett	DOIID	390286	NAIC NPN	7209030

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	3/13/1985	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	10/26/2009
Inactive	Resident	Agent	Property	8/15/2000	10/26/2009
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	3/13/1985	8/31/1999
Inactive	Nationwide Assurance Company	300166	Agent - General Lines	11/25/1985	6/16/1998
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	3/31/2004
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	5/11/1990	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	3/31/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	J. G. Keown Insurance Agency	398281	Agent - General Lines	12/7/1987	8/15/2000
Inactive	J. G. Keown Insurance Agency	398281	Agent - Property	8/15/2000	3/3/2003
Inactive	J. G. Keown Insurance Agency	398281	Agent - Casualty	8/15/2000	3/3/2003