DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Leedke, Tim R	DOIID	550198	NAIC NPN	3689521

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/17/2006	6/30/2009
Inactive	Non Resident	Agent	Life	5/31/2002	6/30/2009
* 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	American General Life Insurance Company	301585	Agent - Life	5/31/2002	2/23/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/1/2006	6/30/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/1/2006	6/30/2009
Inactive	Delaware Life Insurance Company	301256	Agent - Life	12/31/2003	12/13/2006
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/5/2003	6/30/2009
Inactive	Keyport Life Insurance Company	300319	Agent - Life	2/6/2003	12/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	2/7/2006	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/1/2006	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	6/30/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	6/30/2009