DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson Jr, William Douglas	DOIID	616772	NAIC NPN	5330316

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/30/2005	10/8/2007
Inactive	Non Resident	Agent	Casualty	9/30/2005	10/8/2007
* 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	6/29/2006	8/23/2007
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	6/29/2006	8/23/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Insurance Answer Center LLC	401337	Agent - Casualty
Denied	Insurance Answer Center LLC	401337	Agent - Property