DEPARTMENT OF INSURANCE

Affiliations

Name	Goldsmith, Jason Clark	DOIID	313398	NAIC NPN	1635088

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Adjuster	Independent	3/31/2003	6/14/2007
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	1/22/1998	12/7/1998
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	United Services Automobile Association	300158	Adjuster - Independent	12/7/1998	6/28/2002