DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	D & S Management Services Inc.	DOIID	399894	NAIC NPN	7222027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	4/11/1997	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	5/31/2003
Inactive	Resident	Agent	Casualty	8/15/2000	5/31/2003
* 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	Countryway Insurance Company	300809	Agent - Casualty	8/15/2000	5/31/2003
Inactive	Countryway Insurance Company	300809	Agent - General Lines	4/11/1997	8/15/2000
Inactive	Countryway Insurance Company	300809	Agent - Property	8/15/2000	5/31/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brangers, Mickey Wayne	377440	Agent - General Lines	4/11/1997	7/1/1998
Inactive	Davis, Timothy Ray	367724	Agent - Casualty	8/15/2000	5/31/2003
Inactive	Davis, Timothy Ray	367724	Agent - General Lines	4/11/1997	8/15/2000
Inactive	Davis, Timothy Ray	367724	Agent - Property	8/15/2000	5/31/2003
Inactive	Speck, Royce Allen	360854	Agent - Casualty	8/15/2000	5/31/2003
Inactive	Speck, Royce Allen	360854	Agent - General Lines	4/11/1997	8/15/2000
Inactive	Speck, Royce Allen	360854	Agent - Property	8/15/2000	5/31/2003
Inactive	Thomas, Michael Carlyle	320754	Agent - General Lines	4/11/1997	10/26/1997