Individual Information

JONATHAN COOPER

CHARLOTTE, NC 28277-4010

Active

relationdoi@3hcs.com

05/29/2018

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3343108	05/29/2018	Active	05/29/2018	05/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/29/2018	Active	05/29/2018
Health	05/29/2018	Active	05/29/2018
Life	05/29/2018	Active	05/29/2018
Property	05/29/2018	Active	05/29/2018

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	06/21/2024
	Property	Active	06/21/2024
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	06/21/2024
	Property	Active	06/21/2024
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	06/21/2024
	Property	Active	06/21/2024
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	06/21/2024
	Property	Active	06/21/2024
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	06/21/2024
	Property	Active	06/21/2024
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	06/21/2024
	Property	Active	06/21/2024

row(s) 1 - 12 of 12

Organization	Association Type	Type	Beg dte	End dte
RELATION INSURANCE SERVICES, INC	Designated Resp Lic Prdcr	Agency	09/16/2024	-
RELATION INSURANCE SERVICES OF NORTH CAROLINA, INC	Designated Resp Lic Prdcr	Agency	09/16/2024	-
RELATION INSURANCE, INC.	Designated Resp Lic Prdcr	Agency	04/01/2020	-
RELATION INSURANCE SERVICES SELECT, INC.	Designated Resp Lic Prdcr	Agency	07/27/2021	-
RELATION INSURANCE SERVICES GREAT LAKES, INC.	Designated Resp Lic Prdcr	Agency	08/28/2024	-

1 - 5