Individual Information

ADAM NURI ALFAQEEH

Address:

SALEM, OR 97304-2855

Status:

Active

Email:

adam.alfaqeeh@countryfinanical.com

Date:

04/07/2025

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	4101083	04/07/2025	Active	04/07/2025	04/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/07/2025	Active	04/07/2025
Health	04/07/2025	Active	04/07/2025
Life	04/07/2025	Active	04/07/2025
Property	04/07/2025	Active	04/07/2025
Var. Annuities/Var. Life	04/07/2025	Active	04/07/2025

Company Name	Appointment Type	Status	Active Date
1334
COUNTRY CASUALTY INSURANCE COMPANY	Casualty	Active	04/08/2025
	Property	Active	04/08/2025
1369
Company Name	Appointment Type	Status	Active Date
COUNTRY LIFE INSURANCE COMPANY	Health	Active	04/08/2025
	Life	Active	04/08/2025
1359
Company Name	Appointment Type	Status	Active Date
COUNTRY MUTUAL INSURANCE COMPANY	Casualty	Active	04/08/2025
	Property	Active	04/08/2025
1368
Company Name	Appointment Type	Status	Active Date
COUNTRY PREFERRED INSURANCE COMPANY	Casualty	Active	04/08/2025
	Property	Active	04/08/2025

row(s) 1 - 8 of 8

Organization	Association Type	Type	Beg dte	End dte
CC SERVICES INC	Designated Resp Lic Prdcr	Agency	04/08/2025	-

1 - 1