DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kilpatrick, Jacob Scott	DOIID	592015	NAIC NPN	7680176

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/6/2004	1/31/2006
Inactive	Non Resident	Agent	Property	7/6/2004	1/31/2006
* 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	RiverStone International Insurance, Inc.	301758	Agent - Casualty	7/30/2004	12/16/2005
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	7/30/2004	12/16/2005
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/30/2004	12/27/2005
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/30/2004	12/27/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Inslogic Corporation	513852	Agent - Property	8/5/2004	12/27/2005
Inactive	Inslogic Corporation	513852	Agent - Casualty	8/5/2004	12/27/2005