Individual Information

MARY JANE LAKE

GARDNERVILLE, NV 89410

Active

mlake@farmersagent.com

06/22/1988

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	24391	10/01/2001	Active	10/01/2001	06/30/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Casualty	06/22/1988	Inactive	10/01/2001
Casualty	04/19/1991	Inactive	10/01/2001
Health	06/22/1988	Inactive	10/01/2001
Health	04/19/1991	Inactive	10/01/2001
Life	06/22/1988	Inactive	10/01/2001
Life	04/19/1991	Inactive	10/01/2001
Property	06/22/1988	Inactive	10/01/2001
Property	04/19/1991	Inactive	10/01/2001
Surety	06/22/1988	Inactive	01/01/2020
Surety	04/19/1991	Inactive	01/01/2020
Surety	10/01/2001	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	02/13/2024
230
Company Name	Appointment Type	Status	Active Date
FARMERS INSURANCE EXCHANGE	Casualty	Active	02/13/2024
	Property	Active	02/13/2024
231
Company Name	Appointment Type	Status	Active Date
FARMERS NEW WORLD LIFE INSURANCE COMPANY	Health	Active	02/13/2024
	Life	Active	02/13/2024
247
Company Name	Appointment Type	Status	Active Date
FIRE INSURANCE EXCHANGE FIRE UNDERWRITERS ASSOCIATION	Casualty	Active	02/13/2024
	Property	Active	02/13/2024
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	02/13/2024
	Property	Active	02/13/2024
405
Company Name	Appointment Type	Status	Active Date
MID-CENTURY INSURANCE COMPANY	Casualty	Active	02/13/2024
	Property	Active	02/13/2024
656
Company Name	Appointment Type	Status	Active Date
TRUCK INSURANCE EXCHANGE	Casualty	Active	02/13/2024
	Property	Active	02/13/2024

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