black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

REVOSURE LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN531039
Status:
First Licensure:
10/20/2025
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
8321 RIVER ROCK LN
DELAWARE, OH 43015-1894
Mailing:
PO BOX 107
POWELL, OH 43065-0107
Phone:
+1 (419) 796-0028
Email:
tgrothouse@revolutionmortgage.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/20/2025 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
SELECTIVE INSURANCE COMPANY OF NEW YORK
03/12/2026 PCF437

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MATTHEW SCOTT GROTHOUSE
10/20/2025 PRN527394

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MATTHEW SCOTT GROTHOUSE PRN527394

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21760280

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: 03/20/2026 03:01:54 PM