DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Yamaha, Polaris, Kawasaki of Jackson, LLC	DOIID	681616	NAIC NPN	10870087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	7/30/2008	1/1/2010
* 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	American Security Insurance Company	300901	Agent - Limited Line Credit	10/12/2009	1/1/2010
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/8/2008	1/1/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fraley, Dennis	344938	Agent - Limited Line Credit	7/30/2008	10/31/2009