DEPARTMENT OF INSURANCE

Name	Black/White & Associates of Nevada Inc	DOIID	612893	NAIC NPN	4582377

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Property	11/3/2005	8/24/2010
Inactive	Non Resident	Agent	Casualty	11/3/2005	8/24/2010

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	931 American Pacific Drive Ste 104Henderson, NV 89014
Mailing	931 American Pacific Drive Ste 104Henderson, NV 89014

Internet Information

Type	Address
Business Email	glorian@bwins.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(702) 856-0900