DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Cheryl	DOIID	906166	NAIC NPN	16814898

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/8/2016	9/9/2016
Inactive	Non Resident	Agent	Property	2/8/2016	9/9/2016
* 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 Family Home Insurance Company	301817	Agent - Casualty	2/24/2016	3/22/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	2/24/2016	3/22/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	2/24/2016	3/22/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Property	2/24/2016	3/22/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	2/24/2016	3/22/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	2/24/2016	3/22/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	2/24/2016	3/22/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	2/24/2016	3/22/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/20/2016	4/7/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/20/2016	4/7/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/20/2016	4/7/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/20/2016	4/7/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	2/24/2016	3/31/2016
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	2/24/2016	3/31/2016