DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bandurske, Timothy Bruce	DOIID	511472	NAIC NPN	7214112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	11/7/2011	5/2/2013
Inactive	Resident	Agent	Credit Life & Health	4/24/2000	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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	11/7/2011	5/2/2013
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	4/24/2000	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	8/23/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Town & Country Ford LLC	399124	Agent - Limited Line Credit	8/23/2001	8/23/2001
Inactive	Two M Co. Inc.	400707	Agent - Limited Line Credit	4/16/2013	5/2/2013