DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Agency Development Serv Inc. DBA : Kirkwood Ins Ser	DOIID	400255	NAIC NPN	963106

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/30/1999	3/31/2007
Inactive	Non Resident	Agent	Life	1/30/1999	3/31/2007
* 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	AF&L Insurance Company	301582	Agent - Health	12/15/2000	11/1/2006
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	10/30/2001	12/15/2005
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	10/30/2001	12/15/2005
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	1/30/1999	3/31/2007
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	1/30/1999	3/31/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	6/10/2005	3/8/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	6/10/2005	3/8/2007
Inactive	Time Insurance Company	300683	Agent - Health	10/22/2001	3/31/2007
Inactive	Time Insurance Company	300683	Agent - Life	10/22/2001	3/31/2007
Inactive	World Insurance Company	300396	Agent - Health	5/5/1999	1/22/2003
Inactive	World Insurance Company	300396	Agent - Life	5/5/1999	1/22/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kalina, Ian Scott	339306	Agent - Health	7/31/2000	3/31/2007
Inactive	Kalina, Ian Scott	339306	Agent - Life	7/31/2000	3/31/2007
Inactive	Kalina, Richard Lloyd	342428	Agent - Health	1/30/1999	9/30/2006
Inactive	Kalina, Richard Lloyd	342428	Agent - Life	1/30/1999	9/30/2006
Inactive	Lopretta, Kenneth	334060	Agent - Health	4/26/1999	3/31/2003
Inactive	McBride, John Francis	392296	Agent - Health	9/13/2000	3/31/2007
Inactive	McBride, John Francis	392296	Agent - Life	9/13/2000	3/31/2007
Inactive	Thornhill, James Eugene	374473	Agent - Health	4/26/1999	1/5/2004
Inactive	Thornhill, Scott Quinn	325629	Agent - Health	4/26/1999	6/30/2003
Inactive	Yevelson, Ted	364417	Agent - Health	4/26/1999	3/13/2003