DEPARTMENT OF INSURANCE

Name	Black, David J	DOIID	587421	NAIC NPN	2776158

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Property	4/5/2004		12/31/2024
Active	Non Resident	Agent	Casualty	4/5/2004		12/31/2024

*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	10/15/2024	12/31/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	3900 Kinross Lakes Pkwy # 300 Richfield, OH 442869381

Internet Information

Type	Address
Internet	www.britton-gallahger.com

Phone Information

Type	Phone
Business / Home Office	(440) 248-4711