DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Maynard, Dustie R	DOIID	506529	NAIC NPN	7212303

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	8/15/2000	7/12/2003
Inactive	Resident	Agent	General Lines	6/30/2000	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	7/12/2003
* 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 National Insurance Company of America	301690	Agent - Casualty	9/8/2000	7/12/2003
Inactive	First National Insurance Company of America	301690	Agent - Property	9/8/2000	7/12/2003
Inactive	General Insurance Company of America	300261	Agent - Casualty	9/8/2000	7/12/2003
Inactive	General Insurance Company of America	300261	Agent - Property	9/8/2000	7/12/2003
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	7/12/2003
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	6/30/2000	6/30/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	7/12/2003
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/8/2000	7/12/2003
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/8/2000	7/12/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	KMA Insurance Agency Inc.	401270	Agent - Property	7/12/2002	8/19/2002
Inactive	KMA Insurance Agency Inc.	401270	Agent - Casualty	7/12/2002	8/19/2002