Agency Information

FORREST N JACKSON INSURANCE INC

Address:

1402 E STATE BLVD

FORT WAYNE, IN 46805

Phone

260-484-4077

URL:

Email:

lgjftwayne@msn.com

National Producer Number:

8449035

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3511150	01/06/2020	Active	01/06/2020	01/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/06/2020	Active	01/06/2020
Health	01/06/2020	Active	01/06/2020
Life	01/06/2020	Active	01/06/2020
Property	01/06/2020	Active	01/06/2020

Company Name	Appointment Type	Status	Active Date
17860
SHELTER LIFE INSURANCE COMPANY	Health	Active	01/10/2020
	Life	Active	01/10/2020
17861
Company Name	Appointment Type	Status	Active Date
SHELTER MUTUAL INSURANCE COMPANY	Casualty	Active	01/10/2020
	Property	Active	01/10/2020

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
LINDA GALE JACKSON	Designated Resp Lic Prdcr	Yes	02/18/2021	-

1 - 1