DEPARTMENT OF INSURANCE

Affiliations

Name	Blackhorse Enterprises	DOIID	684099	NAIC NPN	11066727

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/2/2008	3/31/2010
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clark, Lawrence Scott	320420	Agent - Life	7/2/2008	3/31/2010