DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Countryside Motors Inc.	DOIID	400362	NAIC NPN	7222350

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	3/31/2008
Inactive	Resident	Agent	Credit Life & Health	2/4/1994	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	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	8/15/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	11/30/2007	3/31/2008
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/4/2004	3/31/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	2/4/1994	3/18/1996
Inactive	Protective Life Insurance Company	300638	Agent - Credit Life & Health	11/27/1996	7/30/1997
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Credit Life & Health	3/14/1997	7/30/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	4/12/1996	11/27/1996

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brooks, Bobby R	338004	Agent - Credit Life & Health	4/12/1996	8/12/1996
Inactive	Burley, John	311765	Agent - Credit Life & Health	4/12/1996	8/12/1996
Inactive	Garrett, Susan A	302426	Agent - Credit Life & Health	8/15/1997	8/7/2000
Inactive	Garrett, Susan A	302426	Agent - Limited Line Credit	2/27/2004	5/8/2006
Inactive	Koehler, Edward C	320890	Agent - Credit Life & Health	8/15/1997	8/7/2000
Inactive	Koehler, Edward C	320890	Agent - Limited Line Credit	8/7/2000	2/20/2003
Inactive	McDonald, Thomas H	320195	Agent - Credit Life & Health	12/14/1994	3/15/1996
Inactive	Morgan, James D	389420	Agent - Limited Line Credit	6/14/2005	3/31/2008
Inactive	Tackett, James Harold	306212	Agent - Limited Line Credit	2/20/2003	9/29/2003
Inactive	Tinsley, Jack Bryan	362669	Agent - Credit Life & Health	8/15/1997	6/3/1998