DEPARTMENT OF INSURANCE

Affiliations

Name	Donnelly, Janet Faye	DOIID	555234	NAIC NPN	7397679

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	7/22/2003	6/1/2012
Inactive	Resident	Agent	Life	9/12/2002	6/1/2012
Inactive	Resident	Agent	Casualty	7/22/2003	6/1/2012
Inactive	Resident	Agent	Health	9/12/2002	6/1/2012
* 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	AIG Assurance Company	300897	Agent - Casualty	5/26/2005	9/24/2010
Inactive	AIG Assurance Company	300897	Agent - Property	5/26/2005	9/24/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/25/2008	5/31/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/25/2008	5/31/2012
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	9/12/2002	2/7/2003
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	9/12/2002	2/7/2003
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	12/14/2007	5/23/2011
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	12/14/2007	5/23/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/23/2010	2/2/2012
Inactive	Dairyland Insurance Company	301370	Agent - Property	3/23/2010	2/2/2012
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/23/2005	6/1/2012
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	3/23/2005	6/1/2012
Inactive	Grange Insurance Company	300234	Agent - Casualty	4/24/2006	6/1/2012
Inactive	Grange Insurance Company	300234	Agent - Property	4/24/2006	6/1/2012
Inactive	Grange Life Insurance Company	300128	Agent - Health	4/24/2006	6/1/2012
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/24/2006	6/1/2012
Inactive	Granite State Insurance Company	300818	Agent - Casualty	5/26/2005	9/24/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	5/26/2005	9/24/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/11/2007	9/24/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/11/2007	9/24/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	4/12/2004	4/14/2005
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	4/12/2004	4/14/2005
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	3/23/2005	6/1/2012
Inactive	Trustgard Insurance Company	300104	Agent - Property	3/23/2005	6/1/2012
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/10/2002	12/31/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Health	6/23/2008	7/31/2012
Inactive	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Life	6/23/2008	7/31/2012
Inactive	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Casualty	12/1/2004	7/31/2012
Inactive	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Property	12/1/2004	7/31/2012