Individual Information

DAVID PAUL WILSON

PORTAGE, MI 49024-4037

Active

dwilson@jmwilson.com

09/22/2015

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3107075	09/22/2015	Active	09/22/2015	09/30/2027
Non-Res. Surplus Lines Broker	3446433	06/10/2019	Active	06/10/2019	06/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/22/2015	Active	09/22/2015
Property	09/22/2015	Active	09/22/2015
Surplus Lines	06/10/2019	Active	06/10/2019

Company Name	Appointment Type	Status	Active Date
903
ARGONAUT MIDWEST INSURANCE COMPANY	Casualty	Active	11/06/2019
	Property	Active	11/06/2019
1777
Company Name	Appointment Type	Status	Active Date
BERKLEY CASUALTY COMPANY	Casualty	Active	05/11/2023
	Property	Active	05/11/2023
1416
Company Name	Appointment Type	Status	Active Date
CAPITOL INDEMNITY CORPORATION	Casualty	Active	05/14/2018
	Property	Active	05/14/2018
1331
Company Name	Appointment Type	Status	Active Date
MERCHANTS BONDING COMPANY	Casualty	Active	03/21/2025
119079
Company Name	Appointment Type	Status	Active Date
MERCHANTS NATIONAL BONDING INC	Casualty	Active	03/21/2025
444
Company Name	Appointment Type	Status	Active Date
NATIONAL INDEMNITY COMPANY	Casualty	Active	11/16/2023
	Property	Active	11/16/2023
969
Company Name	Appointment Type	Status	Active Date
NATIONAL LIABILITY AND FIRE INSURANCE COMPANY	Casualty	Active	11/16/2023
	Property	Active	11/16/2023
461
Company Name	Appointment Type	Status	Active Date
NATIONWIDE MUTUAL INSURANCE COMPANY	Casualty	Active	10/31/2023
	Property	Active	10/31/2023
1012
Company Name	Appointment Type	Status	Active Date
PLATTE RIVER INSURANCE COMPANY	Casualty	Active	05/14/2018

row(s) 1 - 15 of 15

Organization	Association Type	Type	Beg dte	End dte
J M WILSON CORPORATION	Designated Resp Lic Prdcr	Agency	06/15/2020	-

1 - 1