DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Owsley, Kimberly A	DOIID	762694	NAIC NPN	16375659

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	10/25/2011	12/1/2014
Inactive	Resident	Agent	Life	3/15/2012	12/1/2014
Inactive	Resident	Agent	Health	3/20/2012	12/1/2014
Inactive	Resident	Agent	Property	10/7/2011	12/1/2014
* 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	Nationwide Assurance Company	300166	Agent - Casualty	11/29/2011	12/1/2014
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	11/29/2011	12/1/2014
Inactive	Nationwide General Insurance Company	300603	Agent - Property	11/29/2011	12/1/2014
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/29/2011	12/1/2014
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/29/2011	12/1/2014
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/26/2012	10/21/2014
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/26/2012	10/21/2014
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/26/2012	10/21/2014
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	11/29/2011	12/1/2014
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	11/29/2011	12/1/2014
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/29/2011	12/1/2014
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	11/29/2011	12/1/2014
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	11/29/2011	12/1/2014
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	11/29/2011	12/1/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	11/29/2011	12/1/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	11/29/2011	12/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	James R Justice II & Associates Inc	722657	Agent - Casualty	7/12/2012	12/1/2014
Inactive	James R Justice II & Associates Inc	722657	Agent - Property	7/12/2012	12/1/2014
Inactive	James R Justice II & Associates Inc	722657	Agent - Life	7/12/2012	10/21/2014
Inactive	James R Justice II & Associates Inc	722657	Agent - Health	7/12/2012	10/21/2014