DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rebsamen Insurance/Springdale, Inc.	DOIID	502038	NAIC NPN	1651507

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	2/24/2000	8/15/2000
Inactive	Non Resident	Agent	Casualty	4/18/2005	2/9/2007
Inactive	Non Resident	Agent	Property	4/18/2005	2/9/2007
* 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	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/15/2000	5/31/2004
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - General Lines	2/24/2000	8/15/2000
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/15/2000	5/31/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Stafford, Joseph H	338407	Agent - Casualty
Denied	Stafford, Joseph H	338407	Agent - Property
Inactive	Stone, Fred Bernell	312430	Agent - Casualty	4/18/2005	2/9/2007
Inactive	Stone, Fred Bernell	312430	Agent - General Lines	2/24/2000	8/15/2000
Inactive	Stone, Fred Bernell	312430	Agent - Property	4/18/2005	2/9/2007