DEPARTMENT OF INSURANCE

Affiliations

Name	Tooley, Samantha	DOIID	719438	NAIC NPN	15182628

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	12/9/2009	8/31/2014
Inactive	Non Resident	Agent	Casualty	12/9/2009	8/31/2014
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	11/13/2012	8/31/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/13/2012	8/31/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	11/13/2012	8/31/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Property	11/13/2012	8/31/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	11/13/2012	8/31/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Property	11/13/2012	8/31/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/22/2013	8/31/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/22/2013	8/31/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/18/2011	6/3/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/18/2011	6/3/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	2/9/2010	4/8/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	2/9/2010	4/8/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/5/2013	8/31/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/5/2013	8/31/2014
Inactive	General Insurance Company of America	300261	Agent - Casualty	2/9/2010	4/8/2011
Inactive	General Insurance Company of America	300261	Agent - Property	2/9/2010	4/8/2011
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	6/22/2011	6/21/2014
Inactive	QBE Insurance Corporation	300515	Agent - Property	6/22/2011	6/21/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/9/2010	4/8/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/9/2010	4/8/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/10/2010	4/8/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/10/2010	4/8/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	1/23/2013	8/31/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	1/23/2013	8/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Regions Insurance, Inc.	502037	Agent - Property	8/10/2011	8/31/2014
Inactive	Regions Insurance, Inc.	502037	Agent - Casualty	8/10/2011	8/31/2014