DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Stephen Ross	DOIID	554893	NAIC NPN	2446815

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	9/17/2002	2/29/2004
Inactive	Non Resident	Agent	Life	2/6/2003	2/29/2004
Inactive	Non Resident	Agent	Property	9/17/2002	2/29/2004
Inactive	Non Resident	Agent	Health	2/6/2003	2/29/2004
* 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	Auto-Owners Insurance Company	301480	Agent - Casualty	9/17/2002	2/10/2004
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	9/17/2002	2/10/2004
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/4/2003	2/29/2004
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/4/2003	2/29/2004
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/16/2003	2/29/2004
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	12/23/2002	4/4/2003
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	12/23/2002	4/4/2003
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/23/2002	4/4/2003
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/23/2002	4/4/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/22/2002	11/25/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/22/2002	11/25/2003
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/3/2003	2/29/2004
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/3/2003	2/29/2004
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	6/12/2003	2/29/2004
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	12/23/2002	6/30/2003
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	12/23/2002	6/30/2003
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/6/2003	6/30/2003
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/6/2003	4/4/2003
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/21/2003	2/29/2004
Inactive	Owners Insurance Company	300796	Agent - Casualty	10/25/2002	2/12/2004
Inactive	Owners Insurance Company	300796	Agent - Property	10/25/2002	2/12/2004
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/4/2003	2/29/2004
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/4/2003	2/29/2004
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/4/2003	2/29/2004
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/4/2003	2/29/2004
Inactive	TravCo Insurance Company	301828	Agent - Casualty	6/4/2003	2/29/2004
Inactive	TravCo Insurance Company	301828	Agent - Property	6/4/2003	2/29/2004
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	6/4/2003	2/29/2004
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	6/4/2003	2/29/2004
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/4/2003	2/29/2004
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/4/2003	2/29/2004
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	6/4/2003	2/29/2004
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	6/4/2003	2/29/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smith's Realty & Insurance, Inc.	554717	Agent - Casualty	9/17/2002	2/29/2004
Inactive	Smith's Realty & Insurance, Inc.	554717	Agent - Property	9/17/2002	2/29/2004