DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, John Roswell	DOIID	640983	NAIC NPN	8929516

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/30/2006	8/1/2010
* 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	Jackson National Life Insurance Company	300486	Agent - Life	12/11/2006	4/7/2009
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	12/12/2006	4/17/2009
Inactive	Western National Life Insurance Company	300461	Agent - Life	12/8/2006	4/9/2009
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	7/8/2008	8/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	12/18/2006	8/1/2010