DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Palmer, William Ray	DOIID	683112	NAIC NPN	10678358

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/18/2008	11/30/2009
Inactive	Non Resident	Agent	Property	6/18/2008	11/30/2009
* 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	7/8/2008	6/15/2009
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/8/2008	6/15/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/7/2008	12/11/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/7/2008	12/11/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Property	7/9/2008	8/3/2009
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	7/9/2008	8/3/2009