DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Zastawny, Edward M	DOIID	661249	NAIC NPN	8465066

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/6/2007	4/30/2015
Inactive	Non Resident	Agent	Property	8/6/2007	4/30/2015
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/10/2007	7/10/2009
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/10/2007	7/10/2009
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	9/26/2007	7/14/2009
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	9/26/2007	7/14/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	1/12/2009	8/31/2011
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/12/2009	8/31/2011
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	4/16/2009	10/8/2010
Inactive	Kentucky National Insurance Company	301625	Agent - Property	4/16/2009	10/8/2010
Inactive	Owners Insurance Company	300796	Agent - Casualty	10/16/2007	7/14/2009
Inactive	Owners Insurance Company	300796	Agent - Property	10/16/2007	7/14/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Grant Insurance Corporation [The]	399879	Agent - Property	9/26/2007	8/31/2011
Inactive	Grant Insurance Corporation [The]	399879	Agent - Casualty	9/26/2007	8/31/2011