DEPARTMENT OF INSURANCE

Name	First Service Corporation	DOIID	400966	NAIC NPN	7222800

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Health	7/2/1992	12/1/2000
Inactive	Resident	Agent	Life	7/2/1992	12/1/2000

*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.

Address Information

Type	Address
Business / Home Office	1218 East Broadway Campbellsville, KY 42718