Individual Information

TORY-JON EDWARD SULLIVAN

Address:

SALEM, OR 97301

Status:

Active

Email:

lois@haganhamilton.com

Date:

05/29/2012

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	821284	05/29/2012	Active	05/29/2012	05/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/29/2012	Active	05/29/2012
Health	06/26/2014	Active	06/26/2014
Life	06/26/2014	Active	06/26/2014
Property	05/29/2012	Active	05/29/2012
Surety	05/29/2012	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
215
EMPLOYERS MUTUAL CASUALTY COMPANY	Casualty	Active	08/16/2019
	Property	Active	08/16/2019

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
B H INSURANCE LLC	Designated Resp Lic Prdcr	Agency	02/15/2021	-
HUGGINS INS SERVICES INC	Designated Resp Lic Prdcr	Agency	09/15/2020	-

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