Individual Information

AMBER MARIE SCISM

Address:

PORTLAND, OR 97217

Status:

Active

Email:

amber@insurepnw.com

Date:

07/09/2021

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3692200	07/09/2021	Active	07/09/2021	07/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/09/2021	Active	07/09/2021
Health	07/09/2021	Active	07/09/2021
Life	07/09/2021	Active	07/09/2021
Property	07/09/2021	Active	07/09/2021

Company Name	Appointment Type	Status	Active Date
613
STATE FARM FIRE & CASUALTY COMPANY	Casualty	Active	07/26/2021
	Property	Active	07/26/2021
615
Company Name	Appointment Type	Status	Active Date
STATE FARM LIFE INSURANCE COMPANY	Life	Active	07/26/2021
616
Company Name	Appointment Type	Status	Active Date
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY	Casualty	Active	07/26/2021
	Health	Active	07/26/2021
	Property	Active	07/26/2021

row(s) 1 - 6 of 6

Organization	Association Type	Type	Beg dte	End dte
AMBER MARIE SCISM AGENCY	Designated Resp Lic Prdcr	Agency	07/22/2021	-
SCISM INSURANCE AND FINANCIAL SERVICES INC	Designated Resp Lic Prdcr	Agency	12/04/2024	-

1 - 2