Individual Information

PAUL RODERICK FULLER

Address:

SACRAMENTO, CA 95831

Status:

Active

Email:

dbarkman@k2ins.com

Date:

06/10/2004

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	189768	06/10/2004	Active	06/10/2004	06/30/2025
Non-Res. Managing Gen. Agt/Agy	198889	02/02/2005	Active	02/02/2005	02/28/2026
Non-Res. Surplus Lines Broker	801026	01/26/2012	Active	01/26/2012	01/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	06/10/2004	Active	06/10/2004
Health	05/31/2019	Active	05/31/2019
Life	05/31/2019	Active	05/31/2019
Managing General Agent	02/02/2005	Active	02/02/2005
Property	05/31/2019	Active	05/31/2019
Surplus Lines	01/26/2012	Active	08/14/2014
Personal Lines	06/10/2004	Inactive	06/04/2019

Company Name	Appointment Type	Status	Active Date
81
AMERICAN ALTERNATIVE INSURANCE CORPORATION	Casualty	Active	01/04/2023
	Property	Active	03/25/2024
1177
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY HOME INSURANCE COMPANY	Casualty	Active	03/25/2024
	Property	Active	03/25/2024
17529
Company Name	Appointment Type	Status	Active Date
AMERICAN SOUTHERN HOME INSURANCE COMPANY	Casualty	Active	03/25/2024
	Property	Active	03/25/2024

row(s) 1 - 6 of 6

Organization	Association Type	Type	Beg dte	End dte
ALLIED PUBLIC RISK LLC	Designated Resp Lic Prdcr	Agency	03/19/2020	-

1 - 1