DEPARTMENT OF INSURANCE

Affiliations

Name	Schrempp, Charles	DOIID	767645	NAIC NPN	10989538

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	10/27/2011	8/31/2016
Inactive	Non Resident	Agent	Life	10/27/2011	8/31/2016
Inactive	Non Resident	Agent	Property	10/27/2011	8/31/2016
* 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 Family Home Insurance Company	301817	Agent - Casualty	10/18/2013	10/15/2015
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/18/2013	10/15/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/18/2015	10/16/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/18/2015	10/16/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/18/2015	10/16/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/18/2015	10/16/2015
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	1/25/2012	10/4/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	1/25/2012	10/4/2012
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/28/2015	8/31/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/28/2015	8/31/2016
Inactive	Esurance Insurance Company	301072	Agent - Casualty	8/6/2014	10/12/2015
Inactive	Esurance Insurance Company	301072	Agent - Property	8/6/2014	10/12/2015
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	11/10/2011	12/30/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	11/10/2011	12/30/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/10/2011	10/15/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/10/2011	10/15/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/16/2011	10/27/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/16/2011	10/27/2015
Inactive	Owners Insurance Company	300796	Agent - Casualty	1/25/2012	10/4/2012
Inactive	Owners Insurance Company	300796	Agent - Property	1/25/2012	10/4/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	1/16/2014	10/15/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	1/16/2014	10/15/2015

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 - Property	12/23/2011	10/12/2015
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	12/23/2011	10/12/2015