DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson Jr, John H	DOIID	393026	NAIC NPN	329134

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/15/2000	11/30/2017
Inactive	Non Resident	Agent	Casualty	8/15/2000	11/30/2017
Inactive	Non Resident	Agent	General Lines	4/20/1988	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American States Preferred Insurance Company	300609	Agent - Casualty	8/15/2000	12/26/2001
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	1/21/1992	8/15/2000
Inactive	American States Preferred Insurance Company	300609	Agent - Property	8/15/2000	12/26/2001
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	3/1/2002	9/7/2017
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	3/1/2002	9/7/2017
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	12/26/2001
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	12/26/2001
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	12/26/2001
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	12/26/2001
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/18/2006	8/1/2011
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	4/18/2006	8/1/2011
Inactive	Grange Insurance Company	300234	Agent - Casualty	4/18/2006	8/1/2011
Inactive	Grange Insurance Company	300234	Agent - Property	4/18/2006	8/1/2011
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/25/2008	8/1/2011
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/25/2008	8/1/2011
Inactive	Owners Insurance Company	300796	Agent - Casualty	8/15/2000	9/7/2017
Inactive	Owners Insurance Company	300796	Agent - General Lines	2/28/2000	8/15/2000
Inactive	Owners Insurance Company	300796	Agent - Property	8/15/2000	9/7/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	12/27/2001
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	12/27/2001
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	12/26/2001
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	12/26/2001
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	4/20/1988	10/28/1999
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	4/18/2006	8/1/2011
Inactive	Trustgard Insurance Company	300104	Agent - Property	4/18/2006	8/1/2011
Inactive	Western Surety Company	300283	Agent - Casualty	1/18/2007	3/20/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	C G T Inc	649660	Agent - Property	1/30/2013	3/31/2017
Inactive	C G T Inc	649660	Agent - Casualty	2/23/2007	3/31/2017
Inactive	Dimond Bros. Insurance LLC	840381	Agent - Property	9/1/2016	9/7/2017
Inactive	Dimond Bros. Insurance LLC	840381	Agent - Casualty	9/1/2016	9/7/2017