DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins Ford of Lexington, LLC DBA : Wildcat Ford Lincoln Mercury	DOIID	738128	NAIC NPN	15961138

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	9/21/2010	5/1/2015
* 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 National Insurance Company	301861	Agent - Limited Line Credit	2/1/2011	6/2/2011
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	9/21/2010	9/10/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dixon, Barbara	329060	Agent - Limited Line Credit	12/3/2012	2/28/2015
Inactive	Powell, Marcus	662124	Agent - Limited Line Credit	9/21/2010	7/3/2013
Inactive	Wells, Matthew Richard	323605	Agent - Limited Line Credit	9/21/2010	5/31/2012