DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Dawna Jan	DOIID	500802	NAIC NPN	7210739

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	5/31/2022
Inactive	Resident	Agent	Debtors Life	12/13/1999	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	Cincinnati Life Insurance Company (The)	300601	Agent - Limited Line Credit	2/12/2001	10/12/2002
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	5/3/2002	3/8/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	10/5/2007	6/3/2020
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/27/2019	5/31/2022
Inactive	Southern Financial Life Insurance Company	300664	Agent - Debtors Life	12/13/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	4/7/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Limited Line Credit	10/1/2020	5/31/2022
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Limited Line Credit	2/1/2008	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First National Bank	399396	Agent - Limited Line Credit	2/24/2003	5/31/2022