black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NANTUCKET LIGHTHOUSE II, INC.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN515723
Status:
First Licensure:
05/16/2025
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1000 CHAPEL VIEW BLVD STE 240
CRANSTON, RI 02920-3067
Mailing:
1000 CHAPEL VIEW BLVD STE 240
CRANSTON, RI 02920-3067
Phone:
+1 (888) 278-4987
Fax:
+1 (888) 278-4987
Email:
ddomin@affinityrisk.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 05/16/2025 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
MOUNT VERNON FIRE INSURANCE COMPANY
01/23/2026 PCF83792

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MELISSA ANN ABBATOMARCO
10/07/2025 PRN90187
ROBERT HEALEY
10/07/2025 PRN489383
KATELYN ANNE MCGRATH
10/08/2025 PRN529941

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
KATELYN ANNE MCGRATH PRN529941

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21131678

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 02/25/2026 10:04:23 PM