DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson Equine Insurance Agency, LLC	DOIID	590892	NAIC NPN	8144070

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	6/7/2004	3/31/2010
Inactive	Resident	Agent	Casualty	6/7/2004	3/31/2010
* 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	10/5/2004	3/31/2010
Inactive	Great American Assurance Company	300327	Agent - Property	10/5/2004	3/31/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Percy, Kim Ann	521960	Agent - Casualty	10/11/2004	3/31/2010
Inactive	Percy, Kim Ann	521960	Agent - Property	10/11/2004	3/31/2010