DEPARTMENT OF INSURANCE

Affiliations

Name	Moulton, Melinda Sue	DOIID	595063	NAIC NPN	8218601

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	1/7/2005	4/1/2015
Inactive	Resident	Agent	Life	8/9/2007	4/1/2015
Inactive	Resident	Agent	Health	6/18/2007	4/1/2015
Inactive	Resident	Agent	Property	7/12/2005	4/1/2015
* 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	1/11/2007	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	1/11/2007	10/2/2010
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	6/10/2013	2/28/2014
Inactive	Allstate Indemnity Company	300778	Agent - Property	6/10/2013	2/28/2014
Inactive	Allstate Insurance Company	300773	Agent - Casualty	6/10/2013	2/28/2014
Inactive	Allstate Insurance Company	300773	Agent - Property	6/10/2013	2/28/2014
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	6/10/2013	2/28/2014
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	6/10/2013	2/28/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/1/2006	11/3/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/1/2006	11/3/2006
Inactive	Granite State Insurance Company	300818	Agent - Casualty	1/11/2007	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	1/11/2007	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/11/2007	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/11/2007	10/2/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	7/20/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	7/20/2011
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	1/21/2013	3/5/2013
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	1/21/2013	3/5/2013
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	10/28/2008	11/19/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	11/15/2006	11/19/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	1/21/2013	3/5/2013
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	1/21/2013	3/5/2013
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	1/21/2013	3/5/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Moulton Insurance, Inc.	559534	Agent - Casualty
Denied	Moulton Insurance, Inc.	559534	Agent - Property