DEPARTMENT OF INSURANCE

Name	Charles Green Ins Inc	DOIID	776670	NAIC NPN	3318228

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	Casualty	3/7/2012	3/31/2020
Inactive	Non Resident	Agent	Property	3/7/2012	3/31/2020

*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	1111 N Main St Franklin, IN 461310000

Internet Information

Type	Address
Business Email	chawkins@green-owensins.com

Phone Information

Type	Phone
Business / Home Office	(317) 736-5522