Type	Issue Date	Qualifying Appointment
CUSTOMER REPRESENTATIVE (0440)	1/16/2004	NO
PERSONAL LINES AGENT (2044)	1/4/2023	YES

Company Name	Issue Date	Exp Date
GEICO MARINE INSURANCE COMPANY	3/31/2025	9/30/2027
SECURITY NATIONAL INSURANCE COMPANY	6/18/2024	9/30/2026
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN	6/18/2024	9/30/2026

Type	Issue Date	Status
LIMITED CUST REPRESENTATIVE (0442)	7/24/1996	INVALID

Company Name	Issue Date	Exp Date	Status Date
HERBIG, CHASE ALLEN	1/28/2008	9/30/2014	1/14/2014
STONE CONSULTING SERVICES INC DBA THE ORMOND AGENCY	3/18/2014	9/30/2020	10/2/2019
HERBIG, CHASE ALLEN	1/10/2005	9/30/2007	7/27/2007
OQUINN INSURANCE SERVICES LLC	10/21/2019	9/30/2022	1/21/2022
BLANCHARD INSURANCE, INC.	2/1/2022	9/30/2024	11/18/2024

Company Name	Issue Date	Exp Date	Status Date
FL VEHICLE INS AGCY INC/ORLANDO #2	7/25/1996	9/30/1996	10/1/1996
A+ DISCOUNT INSURANCE INC	1/1/1998	9/30/2000	9/30/2000
FEDERATED AGENCY GROUP/PLANTATION	4/4/2001	9/30/2003	4/12/2002