DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burton, Shelli D	DOIID	575329	NAIC NPN	1448492

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/29/2003	6/30/2008
Inactive	Non Resident	Agent	Casualty	8/29/2003	6/30/2008
Inactive	Non Resident	Agent	Property	8/29/2003	6/30/2008
Inactive	Non Resident	Agent	Life	8/29/2003	6/30/2008
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/23/2006	6/30/2008
* 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	Great American Assurance Company	300327	Agent - Casualty	8/8/2007	6/30/2008
Inactive	Great American Assurance Company	300327	Agent - Property	8/8/2007	6/30/2008
Inactive	Great West Casualty Company	301015	Agent - Casualty	3/4/2005	1/21/2008
Inactive	Great West Casualty Company	301015	Agent - Property	3/4/2005	1/21/2008
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	11/30/2004	6/30/2008
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	11/30/2004	6/30/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marvin Johnson & Assoc Inc	553279	Agent - Casualty	3/4/2005	6/30/2008
Inactive	Marvin Johnson & Assoc Inc	553279	Agent - Health	2/14/2005	6/30/2008
Inactive	Marvin Johnson & Assoc Inc	553279	Agent - Life	2/14/2005	6/30/2008
Inactive	Marvin Johnson & Assoc Inc	553279	Agent - Property	3/4/2005	6/30/2008
Inactive	Marvin Johnson & Assoc Inc	553279	Surplus Lines Broker - Not Applicable	2/3/2006	6/30/2008