DEPARTMENT OF INSURANCE

Affiliations

Name	Fantasia, Robert John	DOIID	675476	NAIC NPN	6382549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	3/14/2008	3/31/2021
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Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Broadspire Services, Inc.	396187	Independent Adjuster - Property & Casualty	7/17/2012	3/31/2021