DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shreiner, Russel W	DOIID	659502	NAIC NPN	1479201

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/12/2007	10/31/2017
Inactive	Non Resident	Agent	Property	7/12/2007	10/31/2017
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/10/2014	10/31/2017
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/2/2008	10/31/2017
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/2/2008	10/31/2017
Inactive	Northland Insurance Company	300201	Agent - Casualty	7/26/2007	10/31/2017
Inactive	Northland Insurance Company	300201	Agent - Property	7/26/2007	10/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marvin Johnson & Assoc Inc	553279	Surplus Lines Broker - Not Applicable	2/13/2013	10/31/2013