DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Donna Ruth	DOIID	520568	NAIC NPN	3688341

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Personal Lines
Inactive	Non Resident	Agent	Property	4/14/2003	9/30/2006
Inactive	Non Resident	Agent	Casualty	4/14/2003	9/30/2006
* 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	Farmers Insurance Exchange	300336	Agent - Casualty	1/16/2004	9/30/2006
Inactive	Farmers Insurance Exchange	300336	Agent - Property	1/16/2004	9/30/2006
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	1/16/2004	9/30/2006
Inactive	Northern Insurance Company of New York	301317	Agent - Property	1/16/2004	9/30/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/24/2004	9/30/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/24/2004	9/30/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Frank Gross Insurance Agency Inc.	398821	Agent - Casualty	2/27/2004	1/19/2005
Inactive	Frank Gross Insurance Agency Inc.	398821	Agent - Property	2/27/2004	1/19/2005