DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gibson, Shamprie L	DOIID	1234810	NAIC NPN	20273332

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/5/2022		7/31/2026
Active	Non Resident	Agent	Casualty	10/5/2022		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	06/13/2024	06/13/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/1/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/1/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	10/5/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	10/5/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Sales Solutions Inc	631821	Agent - Casualty	10/14/2022
Active	Nationwide Sales Solutions Inc	631821	Agent - Property	10/14/2022