DEPARTMENT OF INSURANCE

Affiliations

Name	Shoults, David Timothy	DOIID	774460	NAIC NPN	565659

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Property & Casualty	2/10/2012		4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Broadspire Services, Inc.	396187	Independent Adjuster - Property & Casualty	1/7/2019
Active	Core Specialty Insurance Services, Inc.	743450	Independent Adjuster - Property & Casualty	7/12/2023