DEPARTMENT OF INSURANCE

Name	Spickard, Jack Damon	DOIID	344422	NAIC NPN	7188955

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	6/27/1956	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	9/30/2009
Inactive	Resident	Agent	Property	8/15/2000	9/30/2009
Inactive	Resident	Agent	Life	9/18/1967	9/30/2009
Inactive	Resident	Agent	Health	9/18/1967	9/30/2009
AFFIDAVIT ON FILE

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	Spickard Insurance Services 130 Fairfax AvenueLouisville, KY 40207

Phone Information

Type	Phone
Business / Home Office	(502) 896-4487