DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Don Jacobs Used Car Center, LLC	DOIID	590462	NAIC NPN	8138882

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	6/1/2004	4/30/2009
* 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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	6/1/2004	4/30/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Conrad, Richard M	321084	Agent - Limited Line Credit	6/1/2004	1/25/2007
Inactive	Jefferson, Thomas Harper	357082	Agent - Limited Line Credit	6/1/2004	4/20/2009
Inactive	Witherby, David Dale	376041	Agent - Limited Line Credit	1/29/2007	8/31/2007