DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goetz, Staci K	DOIID	679375	NAIC NPN	6094103

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	4/28/2008	10/31/2009
Inactive	Non Resident	Agent	Casualty	4/28/2008	10/31/2009
Inactive	Non Resident	Agent	Property	4/28/2008	10/31/2009
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/18/2008	10/31/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/18/2008	10/31/2009
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/5/2008	6/10/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/5/2008	6/10/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brooke Agency Services Company, LLC	544183	Agent - Casualty	6/5/2008	6/10/2008
Inactive	Brooke Agency Services Company, LLC	544183	Agent - Property	6/5/2008	6/10/2008