DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	CFH, Inc DBA : Clark Legacy Center, Clark Funeral Home	DOIID	695772	NAIC NPN	12520975

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/28/2015	3/31/2022
* 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	Investors Heritage Life Insurance Company	300363	Agent - Life	5/25/2016	3/31/2022
Inactive	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	9/8/2015	11/9/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clark, David Paul	340954	Agent - Life		12/17/2008
Inactive	Clark, Guy Steven	712426	Agent - Life	8/28/2015	2/1/2018
Inactive	Hale, Cassie	878785	Agent - Life	8/28/2015	3/31/2022
Inactive	Jones, David Michael	643343	Agent - Life	12/17/2008	9/1/2012
Inactive	Stone, Brad	697486	Agent - Life	11/16/2012	7/1/2013