Individual Information

WAYNE WILLIAM BURROW

SALEM, OR 97301

Active

wayne.burrow@countryfinancial.com

07/27/2021

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3700096	07/27/2021	Active	07/27/2021	07/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/27/2021	Active	07/27/2021
Health	07/27/2021	Active	07/27/2021
Life	07/27/2021	Active	07/27/2021
Limited Portable Electronics	07/27/2021	Active	07/27/2021
Personal Property Storage	07/27/2021	Active	07/27/2021
Property	07/27/2021	Active	07/27/2021
Var. Annuities/Var. Life	07/27/2021	Active	07/27/2021

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	08/23/2022
1334
Company Name	Appointment Type	Status	Active Date
COUNTRY CASUALTY INSURANCE COMPANY	Casualty	Active	08/02/2021
	Property	Active	08/02/2021
1370
Company Name	Appointment Type	Status	Active Date
COUNTRY INVESTORS LIFE ASSURANCE COMPANY	Life	Active	08/02/2021
1369
Company Name	Appointment Type	Status	Active Date
COUNTRY LIFE INSURANCE COMPANY	Health	Active	08/02/2021
	Life	Active	08/02/2021
1359
Company Name	Appointment Type	Status	Active Date
COUNTRY MUTUAL INSURANCE COMPANY	Casualty	Active	08/02/2021
	Property	Active	08/02/2021
1368
Company Name	Appointment Type	Status	Active Date
COUNTRY PREFERRED INSURANCE COMPANY	Casualty	Active	08/02/2021
	Property	Active	08/02/2021
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	08/23/2022
	Property	Active	08/23/2022
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	06/12/2023
	Property	Active	06/12/2023
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	06/12/2023
	Property	Active	06/12/2023

row(s) 1 - 16 of 16

Organization	Association Type	Type	Beg dte	End dte
CC SERVICES INC	Designated Resp Lic Prdcr	Agency	08/02/2021	-

1 - 1