DEPARTMENT OF INSURANCE

Affiliations

Name	Martin III, John Willis	DOIID	578476	NAIC NPN	2316251

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	10/14/2003	9/30/2009
Inactive	Non Resident	Agent	Casualty	10/14/2003	9/30/2009
* 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	21st Century Centennial Insurance Company	301840	Agent - Casualty	5/26/2006	9/30/2009
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	5/26/2006	9/30/2009
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	5/26/2006	9/30/2009
Inactive	21st Century North America Insurance Company	300884	Agent - Property	5/26/2006	9/30/2009
Inactive	ACE American Insurance Company	300625	Agent - Casualty	6/22/2004	9/30/2009
Inactive	ACE American Insurance Company	300625	Agent - Property	6/22/2004	9/30/2009
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	10/25/2005	9/30/2009
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/25/2005	9/30/2009
Inactive	American Home Assurance Company	300246	Agent - Casualty	5/26/2006	9/30/2009
Inactive	American Home Assurance Company	300246	Agent - Property	5/26/2006	9/30/2009
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/25/2005	9/30/2009
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/25/2005	9/30/2009
Inactive	Assurance Company of America	300432	Agent - Casualty	12/3/2003	11/17/2008
Inactive	Assurance Company of America	300432	Agent - Property	12/3/2003	11/17/2008
Inactive	Capson Physicians Insurance Company	301959	Agent - Casualty	12/3/2003	3/31/2008
Inactive	Capson Physicians Insurance Company	301959	Agent - Property	12/3/2003	3/31/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/30/2003	11/17/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/30/2003	11/17/2008
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	12/3/2003	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	12/3/2003	11/30/2007
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/22/2004	9/15/2008
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	6/22/2004	9/15/2008
Inactive	Maine Bonding and Casualty Company	301958	Agent - Casualty	12/3/2003	3/31/2008
Inactive	Maine Bonding and Casualty Company	301958	Agent - Property	12/3/2003	3/31/2008
Inactive	Maryland Casualty Company	301719	Agent - Casualty	12/3/2003	11/17/2008
Inactive	Maryland Casualty Company	301719	Agent - Property	12/3/2003	11/17/2008
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	12/3/2003	9/30/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Property	12/3/2003	9/30/2009
Inactive	Old United Casualty Company	301086	Agent - Casualty	12/15/2005	10/11/2007
Inactive	Old United Casualty Company	301086	Agent - Property	12/15/2005	10/11/2007
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/22/2004	9/15/2008
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/22/2004	9/15/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jack Martin & Associates Inc	587416	Agent - Casualty	5/17/2006	9/30/2009
Inactive	Jack Martin & Associates Inc	587416	Agent - Property	5/17/2006	9/30/2009