DEPARTMENT OF INSURANCE

Affiliations

Name	Goldsmith, Carla D	DOIID	358636	NAIC NPN	1003401

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	10/18/2002	8/31/2009
Inactive	Resident	Agent	Life	10/18/2002	7/6/2008
Inactive	Resident	Agent	Health	10/18/2002	7/6/2008
Inactive	Resident	Agent	General Lines	1/19/1988	6/8/2000
Inactive	Resident	Agent	Property	10/18/2002	8/31/2009
* 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	AIG Assurance Company	300897	Agent - Casualty	10/15/2005	7/6/2008
Inactive	AIG Assurance Company	300897	Agent - Property	10/15/2005	7/6/2008
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	5/30/2006	7/6/2008
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	5/30/2006	7/6/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/2/2006	2/22/2007
Inactive	American Fidelity Assurance Company	301004	Agent - Health	4/3/1997	2/12/1998
Inactive	American Fidelity Assurance Company	301004	Agent - Life	4/3/1997	2/12/1998
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	3/6/2006	7/6/2008
Inactive	American Interstate Insurance Company	301092	Agent - Property	3/6/2006	7/6/2008
Inactive	American National General Insurance Company	301944	Agent - General Lines	8/20/1998	6/8/2000
Inactive	American National Insurance Company	301861	Agent - Health	9/3/1998	7/31/2000
Inactive	American National Insurance Company	301861	Agent - Life	9/3/1998	7/31/2000
Inactive	American National Property and Casualty Company	300392	Agent - General Lines	8/20/1998	6/8/2000
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/28/2006	8/31/2009
Inactive	Encova Life Insurance Company	301818	Agent - Life	10/8/2003	7/6/2008
Inactive	Granite State Insurance Company	300818	Agent - Casualty	10/15/2005	7/6/2008
Inactive	Granite State Insurance Company	300818	Agent - Property	10/15/2005	7/6/2008
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/12/2007	7/6/2008
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/12/2007	7/6/2008
Inactive	MICO Insurance Company	301664	Agent - Casualty	10/31/2002	7/6/2008
Inactive	MICO Insurance Company	301664	Agent - Property	10/31/2002	7/6/2008
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	10/31/2002	7/6/2008
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	10/31/2002	7/6/2008
Inactive	National Insurance Association	301386	Agent - General Lines	1/19/1988	3/31/1998
Inactive	Omni Indemnity Company	301456	Agent - Casualty	6/28/2006	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	6/28/2006	10/8/2009
Inactive	Omni Insurance Company	301545	Agent - Casualty	6/28/2006	10/27/2009
Inactive	Omni Insurance Company	301545	Agent - Property	6/28/2006	10/27/2009
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	7/6/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	7/6/2008
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	6/28/2006	7/6/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	6/28/2006	7/6/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/9/2007	7/6/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/9/2007	7/6/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First State Agency Inc.	400157	Agent - General Lines	11/14/1994	12/1/1997
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Life	5/11/2006	7/6/2008
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Health	5/2/2006	2/22/2007
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Casualty	10/31/2003	8/31/2009
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Property	10/31/2003	8/31/2009