This document from the South Carolina Department of Insurance certifies that an individual with license number 772504, born on December 3, 1964 and a resident of South Carolina, is in good standing and qualified to hold licenses for life and accident/health insurance lines of authority effective June 10, 2015. The certification is signed by the interim director of the South Carolina Department of Insurance.

1. South Carolina
Department of Insurance
Nikki R. Haley
Governor
Raymond G. Farmer
Director of Insurance
1201 Main Street, Suite 1000
Columbia, South Carolina 29201
PO Box 100105
Columbia, South Carolina 29202-3105
(803) 737-6095
CERTIFICATION OF AUTHORITY AS OF 6/16/2015
THIS CERTIFIES THAT Individual#:
DOB:
Resident of SC:
IS IN GOOD STANDING AND IS QUALIFIED TO HOLD A LICENSE FOR THE FOLLOWING LINE(S) OF
AUTHORITY
License Type Authority Held Qualification Method Effective Date
________________________________________
Interim Director of Insurance
State of South Carolina
South Carolina
Department of Insurance
Nikki R. Haley
Governor
Raymond G. Farmer
Director of Insurance
1201 Main Street, Suite 1000
Columbia, South Carolina 29201
PO Box 100105
Columbia, South Carolina 29202-3105
(803) 737-6095
CERTIFICATION OF AUTHORITY AS OF 6/16/2015
THIS CERTIFIES THAT Individual#:
DOB:
Resident of SC:
IS IN GOOD STANDING AND IS QUALIFIED TO HOLD A LICENSE FOR THE FOLLOWING LINE(S) OF
AUTHORITY
License Type Authority Held Qualification Method Effective Date
________________________________________
Interim Director of Insurance
State of South Carolina
From the State of South Carolina to the State of South Carolina
DAVID W PORTER
1400 Wales Av
Maryville, TN 37804
772504
12/3/1964
1 - Producer 19 Life Reciprocal Agreement 6/10/2015
1 - Producer 21 Accident/Health Reciprocal Agreement 6/10/2015