DEPARTMENT OF INSURANCE

Affiliations

Name	Conway, Charles David	DOIID	512503	NAIC NPN	4557890

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/28/2000	6/30/2009
Inactive	Resident	Agent	Casualty	8/28/2000	6/30/2009
Inactive	Resident	Agent	Health	8/29/2002	6/30/2009
Inactive	Resident	Agent	Life	8/29/2002	6/30/2009
AFFIDAVIT ON FILE
* 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	Auto-Owners Life Insurance Company	301368	Agent - Health	8/29/2002	1/18/2005
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	8/29/2002	1/18/2005
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/22/2001	2/11/2003
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	5/21/2001	4/25/2002
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	9/15/2000	4/8/2002
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	9/15/2000	4/8/2002
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	8/28/2000	4/8/2002
Inactive	GuideOne Insurance Company	301794	Agent - Property	8/28/2000	4/8/2002
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	8/28/2000	4/8/2002
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	8/28/2000	4/8/2002
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	9/15/2000	4/8/2002
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	9/15/2000	4/8/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	5/21/2001	4/25/2002
Inactive	Infinity Standard Insurance Company	301643	Agent - Casualty	6/11/2001	12/4/2002
Inactive	Infinity Standard Insurance Company	301643	Agent - Property	6/11/2001	12/4/2002
Inactive	National Summit Insurance Company	300348	Agent - Casualty	3/19/2001	1/27/2004
Inactive	National Summit Insurance Company	300348	Agent - Property	3/19/2001	1/27/2004
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	2/5/2002	12/3/2002
Inactive	Progressive Max Insurance Company	301034	Agent - Property	2/5/2002	12/3/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	2/5/2002	12/3/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	2/5/2002	12/3/2002
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	2/5/2002	12/3/2002
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	2/5/2002	12/3/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	4/15/2002	3/11/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	4/15/2002	3/11/2004
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	5/21/2001	4/25/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Norman Hatter Insurance Agency Inc.	399501	Agent - Life	3/19/2002	4/8/2002
Inactive	Norman Hatter Insurance Agency Inc.	399501	Agent - Health	3/19/2002	4/8/2002
Inactive	Norman Hatter Insurance Agency Inc.	399501	Agent - Property	3/19/2002	2/14/2003
Inactive	Norman Hatter Insurance Agency Inc.	399501	Agent - Casualty	3/19/2002	2/14/2003