DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gould, Mary Ann	DOIID	359423	NAIC NPN	252894

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	12/18/1998	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	10/31/2006
Inactive	Non Resident	Agent	Property	8/15/2000	10/31/2006
* 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	Florists' Mutual Insurance Company	300484	Agent - Casualty	8/15/2000	4/19/2005
Inactive	Florists' Mutual Insurance Company	300484	Agent - General Lines	12/18/1998	8/15/2000
Inactive	Florists' Mutual Insurance Company	300484	Agent - Property	8/15/2000	4/19/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/2/2003	8/10/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/2/2003	8/10/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Florists' Insurance Service Inc.	398722	Agent - General Lines	1/25/1999	8/15/2000
Inactive	Florists' Insurance Service Inc.	398722	Agent - Property	8/15/2000	8/10/2005
Inactive	Florists' Insurance Service Inc.	398722	Agent - Casualty	8/15/2000	8/10/2005