DEPARTMENT OF INSURANCE

Affiliations

Name	Brooks, Kenneth I	DOIID	657454	NAIC NPN	1456543

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	6/13/2007	9/30/2012
Inactive	Non Resident	Agent	Property	6/13/2007	9/30/2012
Inactive	Non Resident	Agent	Health	6/13/2007	9/30/2012
Inactive	Non Resident	Agent	Life	6/13/2007	9/30/2012
* 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 Interstate Insurance Company	301092	Agent - Casualty	9/17/2007	9/30/2012
Inactive	American Interstate Insurance Company	301092	Agent - Property	9/17/2007	9/30/2012
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	8/14/2007	9/30/2012
Inactive	Cincinnati Insurance Company	301298	Agent - Property	8/14/2007	9/30/2012
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/18/2011	9/30/2012
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/18/2011	9/30/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	4/18/2011	9/30/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	4/18/2011	9/30/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	4/18/2011	9/30/2012
Inactive	General Insurance Company of America	300261	Agent - Property	4/18/2011	9/30/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/18/2011	9/30/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	4/18/2011	9/30/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/18/2011	9/30/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/18/2011	9/30/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/18/2011	9/30/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/18/2011	9/30/2012
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/18/2011	9/30/2012
Inactive	Peerless Insurance Company	301910	Agent - Property	4/18/2011	9/30/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/18/2011	9/30/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/18/2011	9/30/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/18/2011	9/30/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/18/2011	9/30/2012
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Casualty	9/17/2007	11/23/2010
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Property	9/17/2007	11/23/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pence Low & Brooks Ins	659819	Agent - Casualty	8/14/2007	9/30/2012
Inactive	Pence Low & Brooks Ins	659819	Agent - Property	8/14/2007	9/30/2012
Inactive	Shepherd Ins Agency Inc	597042	Agent - Casualty	9/20/2011	3/31/2012
Inactive	Shepherd Ins Agency Inc	597042	Agent - Property	9/20/2011	3/31/2012
Inactive	Shepherd Insurance, LLC	774397	Agent - Casualty	5/4/2012	9/30/2012
Denied	Shepherd Insurance, LLC	774397	Agent - Health
Denied	Shepherd Insurance, LLC	774397	Agent - Life
Inactive	Shepherd Insurance, LLC	774397	Agent - Property	5/4/2012	9/30/2012