DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Churchman, Gary Wayne	DOIID	520673	NAIC NPN	7216199

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	2/14/2001	7/1/2002
Inactive	Resident	Agent	Casualty	2/14/2001	7/1/2002
* 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	Assurance Company of America	300432	Agent - Casualty	3/16/2001	5/22/2002
Inactive	Assurance Company of America	300432	Agent - Property	3/16/2001	5/22/2002
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/26/2001	8/13/2001
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/26/2001	8/13/2001
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	3/16/2001	5/22/2002
Inactive	Glatfelter Insurance Company	301640	Agent - Property	3/16/2001	5/22/2002
Inactive	Grange Insurance Company	300234	Agent - Casualty	2/14/2001	5/22/2002
Inactive	Grange Insurance Company	300234	Agent - Property	2/14/2001	5/22/2002
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/26/2001	8/13/2001
Inactive	Indiana Insurance Company	301909	Agent - Property	3/26/2001	8/13/2001
Inactive	Maryland Casualty Company	301719	Agent - Casualty	3/16/2001	5/22/2002
Inactive	Maryland Casualty Company	301719	Agent - Property	3/16/2001	5/22/2002
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/26/2001	8/13/2001
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/26/2001	8/13/2001
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	3/16/2001	5/22/2002
Inactive	Northern Insurance Company of New York	301317	Agent - Property	3/16/2001	5/22/2002
Inactive	Peerless Insurance Company	301910	Agent - Casualty	3/26/2001	8/13/2001
Inactive	Peerless Insurance Company	301910	Agent - Property	3/26/2001	8/13/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Office Inc. [The]	398967	Agent - Property	3/27/2002	5/22/2002
Inactive	Insurance Office Inc. [The]	398967	Agent - Casualty	3/27/2002	5/22/2002