Individual Information

GORDON D KIESGEN

FOX LAKE (LAKE), IL 60020

Active

gkiesgen@amfam.com

05/13/2021

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3669640	05/13/2021	Active	05/13/2021	05/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/13/2021	Active	05/13/2021
Health	05/13/2021	Active	05/13/2021
Life	05/13/2021	Active	05/13/2021
Property	05/13/2021	Active	05/13/2021

Company Name	Appointment Type	Status	Active Date
126590
AMERICAN FAMILY INSURANCE COMPANY	Casualty	Active	05/15/2021
	Property	Active	05/15/2021
1742
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY LIFE INSURANCE COMPANY	Life	Active	05/15/2021
1743
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I.	Casualty	Active	05/15/2021
	Property	Active	05/15/2021
58
Company Name	Appointment Type	Status	Active Date
AMERICAN MODERN HOME INSURANCE COMPANY	Casualty	Active	03/07/2023
	Property	Active	03/07/2023
1744
Company Name	Appointment Type	Status	Active Date
AMERICAN STANDARD INSURANCE COMPANY OF WISCONSIN	Casualty	Active	05/15/2021
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	10/20/2022
	Property	Active	10/20/2022
1409
Company Name	Appointment Type	Status	Active Date
MIDVALE INDEMNITY COMPANY	Casualty	Active	02/04/2025
	Property	Active	02/04/2025
456
Company Name	Appointment Type	Status	Active Date
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA	Casualty	Active	05/15/2024
	Health	Active	05/15/2024
	Property	Active	05/15/2024

row(s) 1 - 15 of 15

Organization	Association Type	Type	Beg dte	End dte
GORDON D KIESGEN AGENCY INC	Designated Resp Lic Prdcr	Agency	07/27/2021	-

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