Individual Information

DANIEL KEITH GLASS

Address:

FERNLEY, NV 89408-8745

Status:

Active

Email:

dan.glass.m30m@statefarm.com

Date:

09/19/2008

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	616689	09/19/2008	Active	09/19/2008	09/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/19/2008	Active	09/19/2008
Health	09/19/2008	Active	09/19/2008
Life	09/19/2008	Active	09/19/2008
Property	09/19/2008	Active	09/19/2008
Var. Annuities/Var. Life	09/19/2008	Active	09/19/2008
Surety	09/19/2008	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
105464
AMERICAN PET INSURANCE COMPANY	Property	Active	03/05/2024
613
Company Name	Appointment Type	Status	Active Date
STATE FARM FIRE & CASUALTY COMPANY	Casualty	Active	03/18/2020
	Property	Active	03/18/2020
615
Company Name	Appointment Type	Status	Active Date
STATE FARM LIFE INSURANCE COMPANY	Life	Active	03/18/2020
	Var. Annuities/Var. Life	Active	03/18/2020
616
Company Name	Appointment Type	Status	Active Date
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY	Casualty	Active	03/18/2020
	Health	Active	03/18/2020
	Property	Active	03/18/2020

row(s) 1 - 8 of 8

Organization	Association Type	Type	Beg dte	End dte
DAN GLASS AGENCY	Designated Resp Lic Prdcr	Agency	03/24/2020	-

1 - 1