DEPARTMENT OF INSURANCE

Name	Squaremouth, LLC	DOIID	759826	NAIC NPN	10053552

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/2/2011	3/31/2025
Active	Non Resident	Agent	Travel	4/16/2012	3/31/2025
Active	Non Resident	Agent	Casualty	7/1/2015	3/31/2025
Active	Non Resident	Agent	Property	7/1/2015	3/31/2025
Pending Replacement	Non Resident	Agent	Life	8/2/2011	3/31/2025

*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	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

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

Address Information

Type	Address
Business / Home Office	180 River Rd Ste 2 Summit, NJ 079011474

Phone Information

Type	Phone
Business / Home Office	(727) 564-9203 Ext-6101