Individual Information

JEFFREY J BOGACKI

Address:

DOWINGTOWN, PA 19335

Status:

Active

Email:

jeff.bogacki@5starsp.com

Date:

09/07/2000

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	69964	10/01/2001	Active	10/01/2001	09/30/2027
Non-Res. Surplus Lines Broker	3808097	06/29/2022	Active	06/29/2022	06/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Surplus Lines	06/29/2022	Active	06/29/2022
Casualty	09/07/2000	Inactive	10/01/2001
Property	09/07/2000	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
936
SAFETY NATIONAL CASUALTY CORPORATION	Casualty	Active	09/10/2013
	Property	Active	09/10/2013

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