DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hafenbreidel, Donna Sue	DOIID	507462	NAIC NPN	7212835

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Property
Denied	Resident	Agent	General Lines
Inactive	Resident	Agent	Casualty	12/6/2001	7/1/2006
* 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
Denied	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	12/6/2001	11/15/2004
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	12/6/2001	11/15/2004
Denied	Nationwide Mutual Fire Insurance Company	301722	Agent - Property
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	12/6/2001	11/15/2004
Denied	Nationwide Mutual Insurance Company	301749	Agent - Property
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	12/6/2001	11/15/2004
Denied	Nationwide Property and Casualty Insurance Company	300599	Agent - Property

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Old Kentucky Insurance Inc.	399452	Agent - Casualty