black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FOXQUILT INSURANCE SERVICES LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN393518
Status:
First Licensure:
08/27/2021
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1422 S TRYON ST STE 300
CHARLOTTE, NC 28203-4678
Mailing:
1422 S TRYON ST STE 300
CHARLOTTE, NC 28203-4678
Phone:
+1 (888) 878-4588
Fax:
+1 (888) 878-4588
Email:
info@foxquilt.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/27/2021 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
CONTRACTORS BONDING AND INSURANCE COMPANY
05/18/2022 PCF1000
EMPLOYERS ASSURANCE COMPANY
05/10/2024 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
05/10/2024 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
05/10/2024 PCF285637
SECURITY NATIONAL INSURANCE COMPANY
09/03/2021 PCF189490
SEQUOIA INSURANCE COMPANY
09/03/2021 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
09/03/2021 PCF136874
WESCO INSURANCE COMPANY
09/03/2021 PCF49735

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
RENAY E. APPLEBY
03/31/2022 PRN414898
SANDRA LYNN COLDEWEY
10/15/2021 PRN399905
BRANDON FLASTERSTEIN
04/14/2022 PRN416117
NICHOLAS GOODFELLOW
03/24/2022 PRN414292
LAUREN GRAY SMITH JOHNSON
04/23/2022 PRN416847

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
NICHOLAS GOODFELLOW PRN414292

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19791783

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: 05/16/2025 04:15:33 AM