DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shelby Motors Inc.	DOIID	399726	NAIC NPN	7221878

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/23/2004
Inactive	Resident	Agent	Credit Life & Health	9/18/1995	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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/5/2000	12/8/2003
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	11/12/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	10/5/2000
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	9/18/1995	11/12/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Stivers, Mark	369012	Agent - Credit Life & Health	9/18/1995	8/7/2000
Inactive	Stivers, Mark	369012	Agent - Limited Line Credit	8/7/2000	12/8/2003