DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kaspszak, Penny M	DOIID	783934	NAIC NPN	6266235

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/13/2012	5/31/2014
Inactive	Non Resident	Agent	Casualty	6/13/2012	5/31/2014
Inactive	Non Resident	Agent	Property	6/13/2012	5/31/2014
Inactive	Non Resident	Agent	Health	6/13/2012	5/31/2014
* 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	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	4/14/2014	7/22/2014
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	4/14/2014	7/22/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/8/2013	5/31/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/8/2013	5/31/2014
Inactive	United Financial Casualty Company	301886	Agent - Casualty	7/8/2013	5/31/2014
Inactive	United Financial Casualty Company	301886	Agent - Property	7/8/2013	5/31/2014
Inactive	Western Surety Company	300283	Agent - Casualty	9/26/2012	6/5/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Brokerage Inc	803993	Agent - Casualty	2/19/2013	6/5/2013
Inactive	American Family Brokerage Inc	803993	Agent - Property	2/19/2013	11/1/2013
Inactive	American Family Brokerage Inc	803993	Agent - Life	2/19/2013	11/1/2013
Inactive	American Family Brokerage Inc	803993	Agent - Health	2/19/2013	11/1/2013