DEPARTMENT OF INSURANCE

Affiliations

Name	Gustafson, Joan Lee	DOIID	302739	NAIC NPN	7156897

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	2/28/2015
Inactive	Resident	Agent	Property	8/15/2000	2/28/2015
Inactive	Resident	Agent	General Lines	8/7/1985	8/15/2000
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	12/11/2002
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	12/11/2002
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	1/30/2014
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	1/30/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	1/30/2014
Inactive	First National Insurance Company of America	301690	Agent - General Lines	6/4/1992	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	1/30/2014
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	1/30/2014
Inactive	General Insurance Company of America	300261	Agent - General Lines	6/4/1992	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	1/30/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	8/7/1985	5/18/1992
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	10/9/1986	5/18/1992
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	4/24/1987	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/15/2000	3/31/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	1/30/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	6/4/1992	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	1/30/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	1/30/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	6/4/1992	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	1/30/2014
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	8/15/2000	12/3/2004
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	6/4/1992	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	12/3/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Thoroughbred Associates Inc.	399133	Agent - General Lines	9/21/1992	8/15/2000
Inactive	Thoroughbred Associates Inc.	399133	Agent - Property	8/15/2000	12/30/2003
Inactive	Thoroughbred Associates Inc.	399133	Agent - Casualty	8/15/2000	12/30/2003