OrgMaster Agency (if SIAA)Agency NameAddressCityStateZipEntity NPNDesignated Responsible Producer (DRP)DRP NPNOriginal Licensure DateBackground Check RequestedBackground Check completeApproved?NotesPrinted
Shredded
Locktonn/aLockton Affinity, LLC7300 College Blvd, Suite 500Overland ParkKS6621065503David Embry1649001612/1/19895/23/2017DP: 6/6/2017
Entity:		DP: Yes (6/7/2017)
Entity:		DP and Entity Appointed to Hamilton 6/13/17Printed:
Shredded:
SIAAInsurcorpCoverage Pro Insurance6550 N. WickmanMelbourneFL329408904465
Mark Filichia10307937
9/6/20065/23/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
SIAAInsurcorpReliance Inc.416 Cheney Hwy STE ATitusvilleFL3278016666518Hitashbhai Patel164930286/1/20125/23/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
SIAASAN FloridaToffales Insurance Agency295 S E Mizner Blvd #4Boca RatonFL3343218294141Gus Toffales19803361/25/20175/23/2017DP:
Entity:		DP:
Entity:
SIAASAN FloridaInsurance Resources LLC6620 1st Ave South SteSt. PeterburgFL337078095758Anita Ford549638
6/16/20065/23/2017DP:6/14/2017
Entity:		DP:
Entity:
SIAASIA of North CarolinaPinnacle P&C Group Inc4018 Ship Yard Blvd.WillmingtonNC2840317274879Larry Jones101766245/22/20145/23/2017DP:6/14/2017
Entity:		DP:
Entity:
SIAASouth Texas Agents AllianceAmerman Ins Services LLC14400 Northbrook Dr Suite 240San AntonioTX7823215972379Matthew Amerman158538010/4/20105/23/2017DP:6/13/17
Entity:		DP:6/14/2017
Entity:
SIAASouth Texas Agents AllianceIndependent Insurance Counselors302 S GORDONALVINTX775115109089Michael James Lansford11576667/18/19895/23/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
SIAASouth Texas Agents AllianceThe Price Agency510 N. Main StreetVidorTX77662James Price11482226/8/2017DP:
Entity:		DP:
Entity:		Entity does not have producer license
SIAAAssure AlliancePalmetto Moon672 Marina Dr. Ste 107CharlestonSC2949216013223Joseph Calder1597376411/9/20105/23/2017DP:
Entity:		DP:No
Entity:		Follow regarding past due amount
SIAAAssure AllianceWannamaker AgencyPO BOX 1225ORANGEBURGSC291168265067Charles Fender64287695/8/19865/30/2017DP:6/13/17
Entity:		DP:6/14/2017
Entity:
SIAASAN FloridaTampa Bay Insurance2402 MERCHANT AVENUEODESSAFL335568390890Michelle Buric5198914/28/20065/24/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
SIAAAssure AllianceManning Insurance302-A MIDLAND PARKWAYSUMMERVILLESC2948516345592Scott Manning83380388/15/20115/23/2017DP:6/13/17
Entity:		DP:6/14/2017
Entity:
SIAAInsurcorpDattani and Patel852-A W. LANCASTER ROADOrlandoFL3280917555295Satyam Patel109647394/9/20155/23/2017DP:
Entity:		DP:
Entity:
SIAAInsurcorpThe Crockett Group3375 20TH STREET SUITE 110Vero BeachFL3296010909936Helen Crockett5658476/11/20085/24/2017DP:6/15/2017
Entity:		DP:
Entity:
SIAASAN FloridaBusiness Insurance Center5728 MAJOR BLVD STE 165OrlandoFL3281932819Robert Newsome5958698/8/20065/24/2017DP:
Entity:		DP:
Entity:
SIAASAN FloridaJay Sussman Insurance400 N TAMPA ST SUITE 1140TampaFL3360216903201Jay Sussman21593873/1/20135/24/2017DP:
Entity:		DP:
Entity:
SIAASTAAInfoTexas Consulting2031 PECAN TRAIL DRRichmondTX7740617850327Stephen Harned178096722/9/20165/24/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
SIAAAssure AllianceDunes Insurance Group915 FOLLY RD STE HCHARLESTONSC29412179725Douglas McMillan41342812/21/20105/30/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
SIAASAN FloridaRowley Insurance Agency Inc.262 S INDIANA AVEENGLEWOODFL34223517926Michael Rowley56903548/24/20015/30/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
SIAASTAAAll Insured Group10190 KATY FWY STE 503HOUSTONTX7704317322437Randall Benzel10639857/17/20145/30/2017DP:6/14/2017
Entity:		DP:
Entity:
SIAASTAADormer Insurance Services, LLC13 N MAIN STKINGWOODTX7733913263261Douglas Dormer10728583/3/20095/30/2017DP: 6/13/2017
Entity:		DP:No
Entity:		Credit freeze, need to follow with GIS
SIAASAN FloridaBinger Financial Services, LLC146 2ND ST N SUITE 310ST. PETERSBURG3370117908197Mary Catherine Schrader31220034/11/20166/2/2017DP: 6/13/2017
Entity:		DP:No
Entity:		Personal Bankruptcy
SIAASTAADurdin Family Enterprises Inc. d/b/a Parkway Family Insurance Agency25500 S H 249TOMBALLTX7737514903516William Robinett76986319/14/20095/30/2017DP: 6/13/17
Entity:		DP:6/14/2017
Entity:
SIAAAssure AllianceHarbor Light Ins and Wealth Advisers LLC97A TOWNE DRBLUFFTONSC2991014545507Harry Lutz20223417/29/20095/31/2017DP: 6/13/17
Entity:		DP:No
Entity:		Credit freeze, need to follow with GIS
SIAAAssure AllianceThe Brown Agency511 WEST GREENWOOD STABBEVILLESC296208267299Darrell Brown642376311/06/20125/31/2017DP:
Entity:		DP:
Entity:
SIAASAN FloridaGenesis One Insurance Group, LLC4590 ULMERTON RD SUITE 208CLEARWATERFL3376216991599Gregory Adams6178286/21/20135/31/2017DP:
Entity:		DP:
Entity:
SIAASTAADLG Insurance Group LLC22503 KATY FWY SUITE 67KATYTX7745018015056Gilbert De La Garza166738258/5/20165/31/2017DP:
Entity:		DP:
Entity:
SIAASAN FloridaFlorida Heritage27544 CASHFORD CIRCLE SUITE 102WESLEY CHAPELFL3354415778044Linda Nelson8087742
5/20/20106/2/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:		Personal Bankruptcy reported but not reflected in credit report
SIAASAN FloridaCentennial Insurance17595 SOUTH TAMIAMI TRAIL SUITE 107FORT MYERSFL3390816609938Chris Boston 1036905
4/12/20126/2/2017DP:6/15/2017
Entity:		DP:
Entity:
SIAASAN FloridaIdeal Insurance7910 N. TAMIAMI TRAIL SUITE 216SARASOTAFL3424317729667Paul Kreminski40505210/8/20096/2/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
SIAASTAAWallace & Murray1351 S TRADE DAYS BLVD NUMBER 105CANTONTX7510315223394Lloyd Shinn898075311/4/20096/2/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
SIAAMessick Insurance196 E NINE MILE ROAD SUITE APENSACOLAFL325348803617Russell Messick4752299/8/20096/2/2107DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
SIAAAlabama Insurance Alliance3500 EASTERN BLVDMONTGOMERYAL361165851779Robert Froese3312516/3/19996/9/2017DP:
Entity:		DP:
Entity:
SIAANorth Florida Agents NetworkDave Reed Insurance200 BEVERLY PARKPENSACOLAFL325349567204David Earl Reed2273819/6/20076/5/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
MissInsurance AllianceThe Insurance Mart, Inc.6045 RIDGEWOOD RDJACKSONMS392112330586Ladd Adair Bratcher371010110/27/20096/7/2017DP: 6/14/17
Entity:		DP:
Entity:
Schneider & Associates Insurance Agencies295 NW 138TH TERRACE SUITE 100NEWBERRYFL326698898807Paul Leon Schneider10313484/14/20046/7/2017DP:
Entity:		DP:
Entity:
HSBR Insurance Inc.9055 SE BRIDGE RDHOBE SOUNDFL334559625495Kevin Brent Mosenthin76141209/8/20036/7/2017DP:
Entity:		DP:
Entity:
Demont Insurance Agency, Inc.2400 MAHAN DRIVETALLAHASSEEFL323088095356Graham Demont158175256/18/20106/7/2017DP:
Entity:		DP:
Entity:
Academy Insurance Agency Inc.7330 CORTEZ RD WBRADENTONFL342108095641William Ramsayer Mahler83352735/16/20056/7/2017DP:
Entity:		DP:
Entity:
W&S Insurance Services LLCPO BOX 680 209 AIRPORT ROADCLINTONNC2832815817727Steven P Williams2399203/10/20096/7/2017DP:
Entity:		DP:
Entity:
Jeffrey Barry Insurance Agency, Inc.12621 FEATHERWOOD DR STE 115HOUSTONTX7703414544419Jeffrey Michael Barry83917702/15/20056/7/2017DP: 6/13/2017
Entity:		DP:6/14/2017
Entity:
Valley Insurance Agency, LLC7745 Carondelet Ave., Suite 200ClaytonMO63105William Powers Jr.5720996/1/20066/7/2017DP:
Entity:		DP:
Entity:
First Palmetto Insurance, Inc.2464 Augusta Hwy.LexingtonSC290728266937Thomas Taylor64281369/17/20026/8/2017DP:6/14/2017
Entity:		DP:
Entity:
Whitford Services Inc.8164 MAIN STREETVANCEBORONC285026619702Jimmie Whitford24075505/5/19926/8/2017DP:
Entity:		DP:
Entity:
Treweek Insurance Agency, LLC 13005 SW 1ST RDJONESVILLEFL3266910511710Timothy Treweek4734225/16/20086/9/2017DP:
Entity:		DP:
Entity:
Palitto AgencyJames Palitto57240976/9/2017DP:
Entity:		DP:
Entity:
SIAASAN FloridaWalden Insurance Network, Inc.7516 Ridge RoadPort RicheyFL346683944425Helen Shelita Stuart542081/1/19976/14/2017DP:
Entity:		DP:
Entity:
SIAASouth Texas Agents AllianceGene Garner Insurance8203 Willow Place Dr South #513HoustonTX77070Gene Garner11111202/1/19796/15/2017DP:
Entity:		DP:
Entity:
Nation Insurance Agency420 SE 8TH STREETOCALAFL344713934820John McDonald5600307/23/20096/15/2017
Anderson & Associates Insurance810 8TH AVE WPALMETTOFL342218820137Michele Ensminger80877566/8/20066/15/2017
LoCastro Insurance Services100 VENICE AVE WEST STE# J & KVENICEFL342858095876Leonard LoCastro19603999/27/20066/15/2017
Satellite Agency Network Group234 LAFAYETTE RDHAMPTONNH38423121564Matthew Masiello63774716/15/20016/15/2017