Individual Information

ANGEL LAKE

Address:

ALTURAS, CA 96101

Status:

Active

Email:

angel.lake.vaaqyy@statefarm.com

Date:

01/08/2020

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3512099	01/08/2020	Active	01/08/2020	01/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/08/2020	Active	01/08/2020
Health	01/08/2020	Active	01/08/2020
Life	01/08/2020	Active	01/08/2020
Property	01/08/2020	Active	01/08/2020

Company Name	Appointment Type	Status	Active Date
105464
AMERICAN PET INSURANCE COMPANY	Property	Active	11/02/2020
613
Company Name	Appointment Type	Status	Active Date
STATE FARM FIRE & CASUALTY COMPANY	Casualty	Active	03/30/2021
	Property	Active	03/30/2021
615
Company Name	Appointment Type	Status	Active Date
STATE FARM LIFE INSURANCE COMPANY	Life	Active	03/30/2021
616
Company Name	Appointment Type	Status	Active Date
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY	Casualty	Active	03/30/2021
	Health	Active	03/30/2021
	Property	Active	03/30/2021

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Organization	Association Type	Type	Beg dte	End dte
ANGEL LAKE INSURANCE AND FINANCIAL SERVICES INC.	Designated Resp Lic Prdcr	Agency	03/01/2020	-

1 - 1