DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, William J	DOIID	638491	NAIC NPN	8892421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	9/19/2006	7/1/2009
Inactive	Resident	Agent	Property	9/19/2006	7/1/2009
Inactive	Resident	Agent	Life	9/7/2006	6/29/2007
Inactive	Resident	Agent	Health	9/7/2006	6/29/2007
* 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	Dairyland Insurance Company	301370	Agent - Casualty	10/13/2006	7/20/2007
Inactive	Dairyland Insurance Company	301370	Agent - Property	10/13/2006	7/20/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/6/2006	7/1/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/6/2006	7/1/2009
Denied	John Alden Life Insurance Company	300573	Agent - Health
Denied	John Alden Life Insurance Company	300573	Agent - Life
Denied	Progressive Casualty Insurance Company	300696	Agent - Casualty
Denied	Progressive Casualty Insurance Company	300696	Agent - Property
Denied	Progressive Northern Insurance Company	301378	Agent - Casualty
Denied	Progressive Northern Insurance Company	301378	Agent - Property
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	9/19/2006	6/29/2007
Inactive	Shelter General Insurance Company	301109	Agent - Property	9/19/2006	6/29/2007
Inactive	Shelter Life Insurance Company	300391	Agent - Health	9/7/2006	6/29/2007
Inactive	Shelter Life Insurance Company	300391	Agent - Life	9/7/2006	6/29/2007
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	9/19/2006	6/29/2007
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	9/19/2006	6/29/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	10/9/2006	6/29/2007
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	10/9/2006	6/29/2007
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	10/9/2006	7/11/2007
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	10/9/2006	7/11/2007