DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson II, Lark Mitchell	DOIID	554823	NAIC NPN	7361649

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/25/2002	12/31/2004
Inactive	Non Resident	Agent	Casualty	9/25/2002	12/31/2004
* 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	California Casualty Indemnity Exchange	301153	Agent - Casualty	9/25/2002	10/15/2003
Inactive	California Casualty Indemnity Exchange	301153	Agent - Property	9/25/2002	10/15/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	California Casualty Management Company	558490	Agent - Casualty	1/23/2003	10/15/2003
Inactive	California Casualty Management Company	558490	Agent - Property	1/23/2003	10/15/2003