DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fulk Ii, Charles Samuel	DOIID	611049	NAIC NPN	7277727

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/28/2005	6/16/2009
Inactive	Non Resident	Agent	Property	6/28/2005	6/16/2009
* 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	RLI Insurance Company	301217	Agent - Casualty	3/30/2006	6/16/2009
Inactive	RLI Insurance Company	301217	Agent - Property	3/30/2006	6/16/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Security Insurance, Inc. II	571204	Agent - Property	1/22/2007	1/29/2009
Inactive	Security Insurance, Inc. II	571204	Agent - Casualty	1/22/2007	1/29/2009