DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pederson, Kevin Brock	DOIID	524546	NAIC NPN	689305

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/9/2001	7/31/2004
Inactive	Non Resident	Agent	Casualty	4/9/2001	7/31/2004
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	4/9/2001	7/31/2004
Inactive	21st Century North America Insurance Company	300884	Agent - Property	4/9/2001	7/31/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Thrivent Property & Casualty Insurance Agency Inc	515095	Agent - Casualty	3/3/2003	7/31/2004
Inactive	Thrivent Property & Casualty Insurance Agency Inc	515095	Agent - Property	3/3/2003	7/31/2004