DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Arch L. Heady & Son Gold Key Inc.	DOIID	400088	NAIC NPN	7222155

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/8/1991	12/1/2000
* 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	Forethought Life Insurance Company	301407	Agent - Life	4/8/1991	4/22/2002

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Abell, David E	369091	Agent - Life	9/30/1988	7/14/1996
Inactive	Gonterman, Timothy Wayne	307118	Agent - Life	9/30/1988	7/14/1996
Inactive	Karl, John Edward	311883	Agent - Life	1/29/1997	12/1/2000
Inactive	Ripperdan, M Kevin	355088	Agent - Life	9/30/1988	11/4/1996
Inactive	Schultz, Michael Joseph	308649	Agent - Life	9/30/1988	9/30/1996
Inactive	Sparks, Cheryl Ann	343285	Agent - Life	9/30/1988	7/14/1996