DEPARTMENT OF INSURANCE

Affiliations

Name	Formato, Carl Anthony	DOIID	345770	NAIC NPN	1438536

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	3/10/1999	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	10/31/2009
Inactive	Non Resident	Agent	Health	3/10/1999	10/31/2009
Inactive	Non Resident	Agent	Life	3/10/1999	10/31/2009
Inactive	Non Resident	Agent	Property	8/15/2000	10/31/2009
* 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	ACE American Insurance Company	300625	Agent - Casualty	8/15/2000	10/31/2009
Inactive	ACE American Insurance Company	300625	Agent - General Lines	3/10/1999	8/15/2000
Inactive	ACE American Insurance Company	300625	Agent - Property	8/15/2000	10/31/2009
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	3/8/2006	7/9/2008
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Health	3/8/2006	7/9/2008
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	3/8/2006	7/9/2008
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	3/8/2006	7/9/2008
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	3/8/2006	7/9/2008
Inactive	American General Life Insurance Company	301585	Agent - Health	9/3/2002	10/31/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	9/3/2002	10/31/2009
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	3/8/2006	7/9/2008
Inactive	American Reliable Insurance Company	301889	Agent - Property	3/8/2006	7/9/2008
Inactive	American Security Insurance Company	300901	Agent - Casualty	3/8/2006	7/9/2008
Inactive	American Security Insurance Company	300901	Agent - Property	3/8/2006	7/9/2008
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/23/2006	8/3/2009
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/23/2006	8/3/2009
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/7/2003	5/6/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/7/2003	5/6/2008
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Casualty	8/15/2002	6/17/2005
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Property	8/15/2002	6/17/2005
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	12/9/2005	10/14/2008
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	12/9/2005	10/14/2008
Inactive	Family Life Insurance Company	300356	Agent - Life	12/4/2002	10/31/2009
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	1/16/2003	3/27/2009
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	1/16/2003	3/27/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/16/2003	3/27/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/16/2003	3/27/2009
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	1/6/2005	10/23/2008
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	1/6/2005	10/23/2008
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	7/9/2007	12/31/2008
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	7/9/2007	12/31/2008
Inactive	First National Insurance Company of America	301690	Agent - Casualty	2/8/2002	4/17/2008
Inactive	First National Insurance Company of America	301690	Agent - Property	2/8/2002	4/17/2008
Inactive	General Insurance Company of America	300261	Agent - Casualty	2/8/2002	4/17/2008
Inactive	General Insurance Company of America	300261	Agent - Property	2/8/2002	4/17/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/1/2001	9/15/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/3/2002	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/3/2002	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	10/3/2002	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	10/3/2002	11/7/2007
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/3/2002	11/7/2007
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/3/2002	11/7/2007
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	10/3/2002	11/7/2007
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	10/3/2002	11/7/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	10/3/2002	11/7/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	10/3/2002	11/7/2007
Inactive	Liberty Life Insurance Company	301542	Agent - Health	7/19/2002	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	7/19/2002	6/30/2006
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/10/1999	10/22/2007
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/10/1999	10/22/2007
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	11/13/2000	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	11/13/2000	3/31/2003
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/8/2002	4/17/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/8/2002	4/17/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/7/2003	5/6/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/7/2003	5/6/2008
Inactive	Standard Guaranty Insurance Company	300902	Agent - Casualty	3/8/2006	7/9/2008
Inactive	Standard Guaranty Insurance Company	300902	Agent - Property	3/8/2006	7/9/2008
Inactive	Stillwater Insurance Company	567181	Agent - Casualty	9/2/2003	12/17/2003
Inactive	Stillwater Insurance Company	567181	Agent - Property	9/2/2003	12/17/2003
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/7/2003	5/6/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/7/2003	5/6/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/28/2004	11/6/2007
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/28/2004	11/6/2007
Inactive	TravCo Insurance Company	301828	Agent - Casualty	4/7/2003	5/6/2008
Inactive	TravCo Insurance Company	301828	Agent - Property	4/7/2003	5/6/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	4/7/2003	5/6/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	4/7/2003	5/6/2008
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	7/19/2005	5/6/2008
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	7/19/2005	5/6/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	5/6/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	5/6/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/7/2003	5/6/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/7/2003	5/6/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	4/7/2003	5/6/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	4/7/2003	5/6/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/3/2002	11/7/2007
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/3/2002	11/7/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Home Crest Insurance Services Inc	611805	Agent - Life	7/13/2005	11/17/2008
Inactive	Home Crest Insurance Services Inc	611805	Agent - Health	7/13/2005	11/17/2008
Inactive	Home Crest Insurance Services Inc	611805	Agent - Property	7/13/2005	11/17/2008
Inactive	Home Crest Insurance Services Inc	611805	Agent - Casualty	7/13/2005	11/17/2008
Inactive	Wamu Ins Services Inc	398108	Agent - General Lines	4/27/1999	8/15/2000
Inactive	Wamu Ins Services Inc	398108	Agent - Life	7/15/2004	2/14/2008
Inactive	Wamu Ins Services Inc	398108	Agent - Health	7/15/2004	2/14/2008
Inactive	Wamu Ins Services Inc	398108	Agent - Property	7/15/2004	2/14/2008
Inactive	Wamu Ins Services Inc	398108	Agent - Casualty	7/15/2004	2/14/2008