DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gardner, Matthew P	DOIID	831741	NAIC NPN	2038249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/17/2014		4/30/2025
Active	Non Resident	Agent	Personal Lines	1/17/2014		4/30/2025
Active	Non Resident	Agent	Crop	1/4/2024		4/30/2025
Active	Non Resident	Agent	Casualty	1/17/2014		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	West Bend Insurance Company	672974	Agent - Casualty	6/11/2020
Active	West Bend Insurance Company	672974	Agent - Property	6/11/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bollinger Inc.	401156	Agent - Property		3/25/2015
Inactive	Bollinger Inc.	401156	Agent - Casualty		3/25/2015
Inactive	Patriot Growth Insurance Services LLC	1002152	Agent - Property	8/10/2018	10/17/2024
Inactive	Patriot Growth Insurance Services LLC	1002152	Agent - Casualty	8/10/2018	10/17/2024
Active	Patriot Growth Insurance Services LLC	1002152	Agent - Crop	1/4/2024
Active	Pedersen, Dowie, Clabby & McCausland Insurance	583038	Agent - Property	6/11/2020
Active	Pedersen, Dowie, Clabby & McCausland Insurance	583038	Agent - Casualty	6/11/2020