DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cain Jr, George Quitman	DOIID	554860	NAIC NPN	1168698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/31/2003	9/30/2008
Inactive	Non Resident	Agent	Property	7/31/2003	9/30/2008
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/18/2008	7/4/2009
* 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	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	2/2/2004	9/30/2008
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	2/2/2004	9/30/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Peakstone Financial Services, Inc.	554598	Agent - Casualty	8/25/2004	9/30/2008
Inactive	Peakstone Financial Services, Inc.	554598	Agent - Property	8/25/2004	9/30/2008