DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Galloway, Charles Eugene	DOIID	307594	NAIC NPN	7159051

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/3/1990	7/1/2006
* 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 Memorial Life Insurance Company	301445	Agent - Life	3/22/2001	7/1/2006
Inactive	Columbian Life Insurance Company	300810	Agent - Life	4/1/1996	6/10/2002
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/3/1990	10/28/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	J B Ratterman & Sons Inc	400440	Agent - Life	3/5/1992	2/28/2003