DEPARTMENT OF INSURANCE

Name	Palotay, Michael Richard	DOIID	1174713	NAIC NPN	16306083

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	11/30/2021	11/30/2024
Active	Non Resident	Agent	Casualty	11/30/2021	11/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/13/2022	11/30/2024

*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	09/15/2024	11/30/2024
Surplus Lines Broker	09/15/2024	11/30/2024

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
Business / Home Office	16501 Ventura Blvd Ste 200 Encino, CA 914362066
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(818) 382-2030