black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THE BALDWIN GROUP SOUTHEAST, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN130456
Status:
Active
First Licensure:
08/19/2006
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
4211 W BOY SCOUT BLVD STE 800
TAMPA, FL 33607-5757
Mailing:
4211 W BOY SCOUT BLVD STE 800
TAMPA, FL 33607-5757
Phone:
+1 (813) 984-3200
Fax:
+1 (813) 984-3201
Email:
licensing@baldwin.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/19/2006 04/01/2027

Alias, DBA or Trade Name
Name
BURNHAM WGB INSURANCE SOLUTIONS
PERFORMANCE BONDING SURETY & INSURANCE BROKERAGE
ROGERSGRAY
TBM
TRINITY ADVISORS

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Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
BETSY D. BAKER
 04/22/2022 PRN416729
HUNTER L. BALDWIN
 05/07/2022 PRN418031
LORI BASSANO
 06/28/2016 PRN187496
DORENE ANN BLAKE
 04/19/2022 PRN416397
JANET GAVIN BOOKER
 04/12/2022 PRN415952
PAUL BROWN
 10/06/2021 PRN206060
TAMARA BURT
 07/28/2021 PRN389574
MATTHEW J. CARNUCCIO
 05/17/2022 PRN418656
STEVEN J. COLE
 04/21/2022 PRN416628
JENNIFER LYNN DOLLAR
 04/19/2022 PRN416395
JOSEPH VINCENT DONOHUE
 05/18/2021 PRN383317
JULIE THOMPSON EDGAR
 04/12/2022 PRN415922
HEATHER WEIL GARDNER
 04/21/2022 PRN416635
JEFFREY MICHAEL HUGHES
 11/25/2020 PRN369808
ERIK KENT JOHANSSON
 05/27/2022 PRN291671
JAMES WILLIAM JOHNSON II
 05/27/2022 PRN109938
MARY BERTOLASIO JOHNSON
 03/16/2022 PRN413267
MATTHEW KASHDIN
 05/18/2021 PRN383324
NATHAN DANIEL KOCHILARIS
 01/18/2018 PRN301309
ELIZABETH HOLMES KRYSTYN
 08/19/2006 PRN81751
SAMANTHA E. MONEY
 03/18/2022 PRN413583
SARAH MARIE NAPOLI
 03/18/2022 PRN413590
ERIC S. NETTLES
 04/12/2022 PRN415929
MATT PHILLIP OLSON
 04/22/2022 PRN416747
KIM LORI OVAITTE
 04/12/2022 PRN415923
RYAN RICH
 04/23/2024 PRR472950
MAGGIE SUE SOMERVILLE
 01/02/2024 PRN384720
DONDI M. STOJAK
 08/17/2022 PRR426967
CAMILLE LUCINDA ZUTES
 05/18/2021 PRN383316

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
MAGGIE SUE SOMERVILLE PRN384720

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8795306

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: 05/13/2025 11:04:35 PM