DEPARTMENT OF INSURANCE

Affiliations

Name	Mintkenbaugh, Carla Jo	DOIID	552670	NAIC NPN	1789241

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	9/7/2004	2/1/2012
Inactive	Resident	Agent	Casualty	9/7/2004	2/1/2012
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/25/2004	1/6/2011
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/25/2004	1/6/2011
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	2/27/2006	2/1/2012
Inactive	American Fire and Casualty Company	300567	Agent - Property	2/27/2006	2/1/2012
Inactive	American Select Insurance Company	301229	Agent - Casualty	10/4/2004	8/4/2009
Inactive	American Select Insurance Company	301229	Agent - Property	10/4/2004	8/4/2009
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	4/1/2010	2/4/2011
Inactive	Ansur America Insurance Company	520667	Agent - Property	4/1/2010	2/4/2011
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	1/17/2005	1/5/2011
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	1/17/2005	1/5/2011
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	1/17/2005	1/5/2011
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	1/17/2005	1/5/2011
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	1/17/2005	1/5/2011
Inactive	Cincinnati Insurance Company	301298	Agent - Property	1/17/2005	1/5/2011
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	2/1/2012
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	2/1/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	2/1/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	2/1/2012
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	4/1/2010	2/4/2011
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	4/1/2010	2/4/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	2/1/2012
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	2/1/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	2/1/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	2/1/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	2/1/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	2/1/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	2/27/2006	2/1/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	2/27/2006	2/1/2012
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	10/4/2004	8/4/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	10/4/2004	8/4/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	2/27/2006	2/1/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Property	2/27/2006	2/1/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	2/1/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	2/1/2012
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	2/1/2012
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	2/1/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	2/1/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	2/1/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	2/1/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	2/1/2012
Inactive	West American Insurance Company	301112	Agent - Casualty	2/27/2006	2/1/2012
Inactive	West American Insurance Company	301112	Agent - Property	2/27/2006	2/1/2012
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/4/2004	1/17/2011
Inactive	Westfield Insurance Company	301950	Agent - Property	10/4/2004	1/17/2011
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	10/4/2004	8/4/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	10/4/2004	8/4/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	C K Ash & Associates Inc.	399142	Agent - Casualty	1/19/2005	1/17/2011
Inactive	C K Ash & Associates Inc.	399142	Agent - Property	1/19/2005	1/17/2011