DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Ryan Shane	DOIID	546872	NAIC NPN	7224782

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	3/21/2002	6/30/2004
Inactive	Resident	Apprentice Adjuster	Not Applicable	8/30/2004	6/30/2005
Inactive	Resident	Independent Adjuster	Property & Casualty	6/30/2005	4/30/2012
* 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
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Limited Line Credit	5/20/2002	12/12/2002
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	3/21/2002	12/26/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brentwood Services Administrators Inc.	397924	Independent Adjuster - Property & Casualty	1/19/2007	1/4/2010

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mruk, James C	340696	Apprentice Adjuster - Not Applicable	8/30/2004	6/30/2005