DEPARTMENT OF INSURANCE

Affiliations

Name	Davidson, Lee David	DOIID	584156	NAIC NPN	5418377

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	6/28/2007	9/30/2011
Inactive	Non Resident	Agent	Casualty	3/4/2004	9/30/2011
Inactive	Non Resident	Agent	Life	3/4/2004	9/30/2011
Inactive	Non Resident	Agent	Personal Lines	3/4/2004	9/30/2011
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	3/4/2004	9/30/2011
Inactive	Non Resident	Agent	Property	3/4/2004	9/30/2011
Inactive	Non Resident	Agent	Limited Line Credit	3/4/2004	9/30/2011
Inactive	Non Resident	Agent	Health	3/4/2004	9/30/2011
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Health	3/25/2004	6/15/2009
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Life	3/25/2004	6/15/2009
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Variable Life and Variable Annuities	3/25/2004	6/15/2009
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Health	5/21/2004	1/16/2009
Inactive	Hanover American Insurance Company (The)	300447	Agent - Casualty	3/11/2004	3/30/2010
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	3/11/2004	3/30/2010
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	3/11/2004	3/30/2010
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	3/11/2004	3/30/2010
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	3/11/2004	3/30/2010
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	3/11/2004	3/30/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIX Inc	625585	Agent - Casualty	1/22/2009	2/22/2010
Inactive	AIX Inc	625585	Agent - Health	2/19/2009	6/15/2009
Inactive	AIX Inc	625585	Agent - Life	2/19/2009	6/15/2009
Inactive	AIX Inc	625585	Agent - Property	1/22/2009	2/22/2010
Inactive	Allmerica Plus Insurance Agency	587458	Agent - Casualty	4/5/2004	3/19/2010
Inactive	Allmerica Plus Insurance Agency	587458	Agent - Health	4/5/2004	6/15/2009
Inactive	Allmerica Plus Insurance Agency	587458	Agent - Life	4/5/2004	6/15/2009
Inactive	Allmerica Plus Insurance Agency	587458	Agent - Property	4/5/2004	3/19/2010
Inactive	Allmerica Plus Insurance Agency	587458	Agent - Variable Life and Variable Annuities	5/5/2004	6/15/2009
Inactive	Citizens Management Inc.	394510	Administrator - Not Applicable	7/6/2007	9/30/2011
Inactive	Professionals Direct Insurance Services, Inc.	548827	Agent - Casualty	1/17/2008	3/30/2010
Inactive	Professionals Direct Insurance Services, Inc.	548827	Agent - Property	1/22/2008	3/30/2010