DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pendley, Matthew Wayne	DOIID	535105	NAIC NPN	5748752

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	6/19/2003	5/26/2007
Inactive	Resident	Agent	Health	8/20/2001	12/17/2001
Inactive	Resident	Agent	Life	8/20/2001	12/17/2001
Inactive	Resident	Apprentice Adjuster	Not Applicable	10/17/2002	6/19/2003
* 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	National Health Insurance Company	300554	Agent - Health	8/20/2001	12/17/2001
Inactive	National Health Insurance Company	300554	Agent - Life	8/20/2001	12/17/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Adjuster - Independent	1/27/2004	1/31/2007

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fisher, Michael Douglas	333946	Apprentice Adjuster - Not Applicable	10/17/2002	6/19/2003