DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ray, Angela K	DOIID	503294	NAIC NPN	7211330

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	Property	1/29/2001	5/31/2003
Inactive	Non Resident	Agent	Casualty	1/29/2001	5/31/2003
* 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	American Select Insurance Company	301229	Agent - General Lines	4/20/2000	8/15/2000
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/29/2001	5/31/2003
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	1/29/2001	5/31/2003
Inactive	Grange Insurance Company	300234	Agent - Casualty	1/29/2001	5/31/2003
Inactive	Grange Insurance Company	300234	Agent - Property	1/29/2001	5/31/2003
Inactive	Infinity Standard Insurance Company	301643	Agent - Casualty	4/18/2001	5/31/2003
Inactive	Infinity Standard Insurance Company	301643	Agent - Property	4/18/2001	5/31/2003
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	2/24/2000	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	1/29/2001	5/31/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	1/29/2001	5/31/2003
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	1/29/2001	5/31/2003
Inactive	Trustgard Insurance Company	300104	Agent - Property	1/29/2001	5/31/2003
Inactive	Westfield Insurance Company	301950	Agent - General Lines	4/20/2000	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	4/20/2000	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Holton, Melugin, & Haverstock Insurance Agency, Inc	399756	Agent - Property	5/24/2002	4/18/2003
Inactive	Holton, Melugin, & Haverstock Insurance Agency, Inc	399756	Agent - Casualty	5/24/2002	4/18/2003