DEPARTMENT OF INSURANCE

Affiliations

Name	Goss, Lepriest Shandale	DOIID	648930	NAIC NPN	7237351

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	2/5/2007	7/30/2009
Inactive	Non Resident	Agent	Property	2/5/2007	7/30/2009
* 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	Encompass Indemnity Company	546376	Agent - Casualty	2/21/2007	9/5/2007
Inactive	Encompass Indemnity Company	546376	Agent - Property	2/21/2007	9/5/2007
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	3/8/2007	9/25/2007
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	3/8/2007	9/25/2007
Inactive	LM Insurance Corporation	301061	Agent - Casualty	3/8/2007	9/25/2007
Inactive	LM Insurance Corporation	301061	Agent - Property	3/8/2007	9/25/2007
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	3/8/2007	9/25/2007
Inactive	Liberty Insurance Corporation	300444	Agent - Property	3/8/2007	9/25/2007
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	3/8/2007	9/25/2007
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	3/8/2007	9/25/2007
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/8/2007	9/25/2007
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	3/8/2007	9/25/2007
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	2/12/2007	9/27/2007
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	2/12/2007	9/27/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/13/2007	9/7/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/13/2007	9/7/2007
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	3/2/2007	10/26/2007
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	3/2/2007	10/26/2007
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	6/6/2007	9/10/2007
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	6/6/2007	9/10/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citi Assurance Services, Inc	569582	Agent - Property	2/15/2007	9/6/2007
Inactive	Citi Assurance Services, Inc	569582	Agent - Casualty	2/15/2007	9/6/2007
Inactive	CoMa Insurance Agency Inc	526746	Agent - Property	2/12/2007	8/30/2007
Inactive	CoMa Insurance Agency Inc	526746	Agent - Casualty	2/12/2007	8/30/2007