DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Leland, Kathy Lynn	DOIID	715556	NAIC NPN	6521594

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/12/2009	9/30/2011
Inactive	Non Resident	Agent	Casualty	10/12/2009	9/30/2011
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/28/2009	9/30/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/28/2009	9/30/2011
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	12/28/2009	9/30/2011
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	12/28/2009	9/30/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	E. N. Dornbusch Agency Inc.	398456	Agent - Casualty	12/28/2009	9/30/2011
Inactive	E. N. Dornbusch Agency Inc.	398456	Agent - Property	12/28/2009	9/30/2011