DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Don Jacobs Oldsmobile Inc	DOIID	400946	NAIC NPN	7222781

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	5/6/2002	3/31/2012
Inactive	Resident	Agent	Credit Life & Health	8/8/1994	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	First Colonial Insurance Company	300752	Agent - Limited Line Credit	2/8/2006	3/31/2012
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	5/6/2002	3/31/2012
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	8/8/1994	3/31/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blevins, Sandra W	303547	Agent - Credit Life & Health	8/8/1994	8/1/1996
Inactive	Daniels, John Oliver	336309	Agent - Limited Line Credit	5/6/2002	3/31/2006
Inactive	Dewsnap, Paula E	360004	Agent - Credit Life & Health	8/8/1994	7/3/1997
Inactive	Hines, Gregory Ross	582436	Agent - Limited Line Credit	3/8/2004	1/7/2008
Inactive	Hoffman, Janet L	372433	Agent - Limited Line Credit	5/6/2002	4/20/2009
Inactive	Khalaf, Waleed Robie	506275	Agent - Limited Line Credit	3/30/2005	1/31/2009
Inactive	Miller, Christopher Alan	381659	Agent - Limited Line Credit	5/6/2002	2/14/2005
Inactive	Mountford, Larry Simcox	378446	Agent - Credit Life & Health	8/8/1994	3/31/1999
Inactive	Smith, Donna J	366024	Agent - Limited Line Credit	5/6/2002	11/7/2005
Inactive	Tyree, Michael Roy	347165	Agent - Credit Life & Health	8/8/1994	10/31/1997
Inactive	Tyree, Michael Roy	347165	Agent - Limited Line Credit	5/6/2002	2/28/2005