DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Vesely, Edmund Roger	DOIID	510882	NAIC NPN	2112068

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/28/2000	12/31/2003
Inactive	Non Resident	Agent	Property	8/15/2000	1/16/2002
Inactive	Non Resident	Agent	General Lines	6/28/2000	8/15/2000
Inactive	Non Resident	Agent	Health	6/28/2000	12/31/2003
Inactive	Non Resident	Agent	Casualty	8/15/2000	1/16/2002
* 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	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	12/10/2001
Inactive	Allstate Insurance Company	300773	Agent - General Lines	6/28/2000	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	12/10/2001
Inactive	Everlake Life Insurance Company	300873	Agent - Health	6/28/2000	11/24/2003
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/28/2000	11/24/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Market USA, Inc.	512487	Agent - Life	6/28/2000	12/31/2003
Inactive	Market USA, Inc.	512487	Agent - Health	6/28/2000	12/31/2003
Inactive	Market USA, Inc.	512487	Agent - General Lines	8/2/2000	8/15/2000
Inactive	Market USA, Inc.	512487	Agent - Property	8/15/2000	1/16/2002
Inactive	Market USA, Inc.	512487	Agent - Casualty	8/15/2000	1/16/2002
Inactive	TPUSA Inc	551795	Agent - Life	6/13/2002	6/30/2003
Inactive	TPUSA Inc	551795	Agent - Health	6/13/2002	6/30/2003