DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Short Iv, William	DOIID	1311583	NAIC NPN	20975444

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/21/2023		8/31/2025
Active	Non Resident	Agent	Casualty	11/21/2023		8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/28/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/28/2023
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/28/2023
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	11/28/2023
Active	Fx Insurance Agency, LLC	646184	Agent - Property	11/28/2023