DEPARTMENT OF INSURANCE

Affiliations

Name	Gallegos, Matthew	DOIID	712976	NAIC NPN	14836838

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	2/26/2015	12/7/2015
Inactive	Non Resident	Agent	Life	9/8/2009	11/30/2014
Inactive	Non Resident	Agent	Health	9/8/2009	11/30/2014
Inactive	Non Resident	Agent	Property	2/26/2015	12/7/2015
* 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	ACE American Insurance Company	300625	Agent - Casualty	3/24/2010	4/8/2010
Inactive	ACE American Insurance Company	300625	Agent - Property	3/24/2010	4/8/2010
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	10/23/2014	11/30/2014
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/23/2014	11/30/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	3/6/2010	3/15/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	3/6/2010	3/15/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/7/2015	12/7/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/7/2015	12/7/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/7/2015	12/7/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/7/2015	12/7/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	4/7/2015	12/7/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Property	4/7/2015	12/7/2015
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	3/10/2010	10/4/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	3/10/2010	10/4/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	3/24/2010	4/8/2010
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	3/24/2010	4/8/2010
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	4/7/2015	8/19/2015
Inactive	Encompass Indemnity Company	546376	Agent - Property	4/7/2015	8/19/2015
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	4/7/2015	8/19/2015
Inactive	Encompass Insurance Company of America	556578	Agent - Property	4/7/2015	8/19/2015
Inactive	Esurance Insurance Company	301072	Agent - Casualty	4/21/2014	11/30/2014
Inactive	Esurance Insurance Company	301072	Agent - Property	4/21/2014	11/30/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/7/2009	11/30/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/7/2009	11/30/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	4/8/2010	11/30/2014
Inactive	First National Insurance Company of America	301690	Agent - Property	4/8/2010	11/30/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/27/2009	11/30/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/27/2009	11/30/2014
Inactive	General Insurance Company of America	300261	Agent - Casualty	4/8/2010	11/30/2014
Inactive	General Insurance Company of America	300261	Agent - Property	4/8/2010	11/30/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/29/2012	12/17/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/29/2012	12/17/2014
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/24/2010	4/8/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/24/2010	4/8/2010
Inactive	Owners Insurance Company	300796	Agent - Casualty	3/10/2010	10/4/2012
Inactive	Owners Insurance Company	300796	Agent - Property	3/10/2010	10/4/2012
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	3/24/2010	4/8/2010
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	3/24/2010	4/8/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/26/2015	6/8/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/26/2015	6/8/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/26/2015	6/8/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/26/2015	6/8/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Life	3/6/2010	3/15/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Health	3/6/2010	3/15/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	3/26/2015	6/3/2015
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	3/26/2015	6/3/2015