DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirkpatrick, John Burton	DOIID	513261	NAIC NPN	1987707

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/15/2000	1/3/2013
Inactive	Non Resident	Agent	Life	8/15/2000	1/3/2013
* 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 Colony Life Insurance Company	301179	Agent - Health	4/22/2002	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/22/2002	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	9/19/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	9/19/2009
Inactive	Prudential Insurance Company of America	300784	Agent - Health	8/15/2000	1/3/2013
Inactive	Prudential Insurance Company of America	300784	Agent - Life	8/15/2000	1/3/2013
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	12/26/2001	1/3/2013
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	12/26/2001	1/3/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Absolute Resource Solutions	513162	Agent - Life	10/14/2010	3/31/2012
Inactive	Absolute Resource Solutions	513162	Agent - Health	10/14/2010	3/31/2012
Inactive	Bollinger Inc.	401156	Agent - Life	4/23/2012	1/3/2013
Inactive	Bollinger Inc.	401156	Agent - Health	4/23/2012	1/3/2013
Inactive	Executive Ins Agency Inc	400244	Agent - Life	12/22/2010	1/24/2012
Inactive	Executive Ins Agency Inc	400244	Agent - Health	12/22/2010	1/24/2012