DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Charles Wesley	DOIID	575888	NAIC NPN	5961840

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/10/2003	1/31/2006
Inactive	Non Resident	Agent	Property	9/10/2003	1/31/2006
* 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	American Bankers Insurance Company of Florida	300360	Agent - Casualty	9/10/2003	11/9/2004
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	9/10/2003	11/9/2004
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/13/2004	1/31/2006
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/13/2004	1/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMH Homes, Inc.	398100	Agent - Casualty	6/23/2005	1/31/2006
Inactive	CMH Homes, Inc.	398100	Agent - Property	6/23/2005	1/31/2006