DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bonomo, Thomas	DOIID	843570	NAIC NPN	16498937

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/20/2014	5/31/2017
Inactive	Non Resident	Agent	Casualty	6/20/2014	5/31/2017
* 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	Park National Insurance Company	692514	Agent - Casualty	8/29/2014	5/31/2017
Inactive	Park National Insurance Company	692514	Agent - Property	8/29/2014	5/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Human Services Benefits Co	609938	Agent - Property	8/29/2014	3/31/2015
Inactive	Human Services Benefits Co	609938	Agent - Casualty	8/29/2014	3/31/2015