DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Allen, Samuel Wayne	DOIID	670360	NAIC NPN	10060662

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	1/24/2008	11/1/2010
Inactive	Resident	Agent	Property	1/24/2008	11/1/2010
* 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	XL Specialty Insurance Company	301605	Agent - Casualty	3/19/2008	11/1/2010
Inactive	XL Specialty Insurance Company	301605	Agent - Property	3/19/2008	11/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bluegrass Bloodstock Agency Inc.	398666	Agent - Casualty	3/19/2008	11/1/2010
Inactive	Bluegrass Bloodstock Agency Inc.	398666	Agent - Property	3/19/2008	11/1/2010