DEPARTMENT OF INSURANCE

Affiliations

Name	Butch Nowak Insurance Agency, Inc	DOIID	593584	NAIC NPN	8188456

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/16/2004	3/31/2014
Inactive	Resident	Agent	Property	8/16/2004	3/31/2014
Inactive	Resident	Agent	Health	8/16/2004	3/31/2014
Inactive	Resident	Agent	Casualty	8/16/2004	3/31/2014
* 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	8/22/2006	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	8/22/2006	10/2/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/3/2005	7/21/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/3/2005	7/21/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	4/18/2005	11/9/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	4/18/2005	11/9/2012
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/19/2006	3/31/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/19/2006	3/31/2014
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	9/22/2007	8/23/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	9/22/2007	8/23/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/12/2004	9/30/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/12/2004	9/30/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/26/2012	3/31/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/26/2012	3/31/2014
Inactive	Granite State Insurance Company	300818	Agent - Casualty	8/22/2006	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	8/22/2006	10/2/2010
Inactive	Homesite Insurance Company	301139	Agent - Casualty	5/26/2009	12/12/2011
Inactive	Homesite Insurance Company	301139	Agent - Property	5/26/2009	12/12/2011
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/5/2007	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/5/2007	10/2/2010
Inactive	Integon National Insurance Company	301600	Agent - Casualty	10/14/2010	10/9/2012
Inactive	Integon National Insurance Company	301600	Agent - Property	10/14/2010	10/9/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	2/22/2008	1/8/2014
Inactive	Kentucky National Insurance Company	301625	Agent - Property	2/22/2008	1/8/2014
Inactive	National General Insurance Company	300152	Agent - Casualty	4/5/2013	8/30/2013
Inactive	National General Insurance Company	300152	Agent - Property	4/5/2013	8/30/2013
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	1/10/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	1/10/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/4/2004	8/26/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/4/2004	8/26/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/4/2004	8/26/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/4/2004	8/26/2013
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	5/17/2005	8/31/2007
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	5/17/2005	8/31/2007
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	2/22/2012	3/31/2014
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	12/28/2006	9/30/2013
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	10/20/2008	9/30/2013
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/7/2007	8/23/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/7/2007	8/23/2012
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	8/26/2013
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	8/26/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	3/23/2007	8/11/2010
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	3/23/2007	8/11/2010
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/27/2010	11/16/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nowak, Chester William	320708	Agent - Casualty	8/16/2004	3/31/2014
Inactive	Nowak, Chester William	320708	Agent - Health	8/16/2004	3/31/2014
Inactive	Nowak, Chester William	320708	Agent - Life	8/16/2004	3/31/2014
Inactive	Nowak, Chester William	320708	Agent - Property	8/16/2004	3/31/2014
Inactive	Phelps, Stephanie Christine	641477	Agent - Casualty	7/23/2010	8/30/2013
Inactive	Phelps, Stephanie Christine	641477	Agent - Property	7/23/2010	8/30/2013