DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Amburgey Jr, Don Ray	DOIID	560456	NAIC NPN	7508781

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Line of Authority not selected
Inactive	Resident	Agent	Limited Line Credit	1/13/2006	11/3/2009
* 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 Assurance Company	300586	Agent - Limited Line Credit	10/21/2003	12/31/2004
Inactive	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	1/13/2006	11/2/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chemco Federal Credit Union	632695	Agent - Limited Line Credit	6/1/2006	11/2/2009
Inactive	EAN Holdings LLC	398117	Agent - Limited Line Credit	1/7/2004	12/31/2004