DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Johnny Wade	DOIID	542872	NAIC NPN	1033241

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/19/2001	6/30/2004
Inactive	Non Resident	Agent	Casualty	12/19/2001	6/30/2004
* 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	AMEX Assurance Company	301728	Agent - Casualty	6/7/2002	6/30/2004
Inactive	AMEX Assurance Company	301728	Agent - Property	6/7/2002	6/30/2004
Inactive	Tesla Insurance Company	300337	Agent - Casualty	12/19/2001	1/27/2003
Inactive	Tesla Insurance Company	300337	Agent - Property	12/19/2001	1/27/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	12/19/2001	2/2/2004
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	12/19/2001	2/2/2004