Individual Information

FITZGERALD N VENTURA

Address:

NEW HYDE PARK, NY 11042-1016

Status:

Active

Email:

fitzventura@mac.com

Date:

07/06/2004

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	190726	07/06/2004	Active	07/06/2004	07/31/2025
Non-Res. Surplus Lines Broker	3813422	07/19/2022	Active	07/19/2022	07/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/06/2004	Active	07/06/2004
Property	07/06/2004	Active	07/06/2004
Surplus Lines	07/19/2022	Active	07/19/2022

Company Name	Appointment Type	Status	Active Date
132
CAROLINA CASUALTY INSURANCE COMPANY	Casualty	Active	06/02/2022
	Property	Active	06/02/2022
1608
Company Name	Appointment Type	Status	Active Date
PROPERTY AND CASUALTY INSURANCE COMPANY OF HARTFORD	Casualty	Active	04/25/2024
	Property	Active	04/25/2024

row(s) 1 - 4 of 4

Organization	Association Type	Type	Beg dte	End dte
1099POLICY INSURANCE AGENCY, LLC	Designated Resp Lic Prdcr	Agency	06/08/2021	-
INTER CITY AGENCY INC	Designated Resp Lic Prdcr	Agency	09/15/2020	-

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