DEPARTMENT OF INSURANCE

Name	Pagoumian, David P	DOIID	532662	NAIC NPN	1018629

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/19/2001	1/31/2025
Active	Non Resident	Agent	Property	6/19/2001	1/31/2025
Active	Non Resident	Reinsurance Intermediary Broker	Not Applicable	2/14/2011	1/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/14/2011	1/31/2025

*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
Agent	11/15/2024	01/31/2025
Reinsurance Intermediary Broker	11/15/2024	01/31/2025
Surplus Lines Broker	11/15/2024	01/31/2025

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	1040 Broad St Ste 101 Shrewsbury, NJ 077024318
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(732) 603-2082
Fax	(732) 549-0221