Individual Information

MICHAEL DAVID JOHNSON

PETALUMA, CA 94952-4197

Active

mjohnson@ventureund.com

09/09/2022

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3830436	09/09/2022	Active	09/09/2022	09/30/2025
Non-Res. Surplus Lines Broker	3837644	09/27/2022	Active	09/27/2022	09/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/09/2022	Active	09/09/2022
Property	09/09/2022	Active	09/09/2022
Surplus Lines	09/27/2022	Active	09/27/2022

Organization	Association Type	Type	Beg dte	End dte
VENTURE INSURANCE AGENCY	Designated Resp Lic Prdcr	Agency	06/08/2023	-

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