DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rosenham, Jack Stan	DOIID	574302	NAIC NPN	7570002

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/7/2003	6/23/2005
Inactive	Non Resident	Agent	Casualty	8/7/2003	6/23/2005
* 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	AMEX Assurance Company	301728	Agent - Casualty	9/22/2003	8/2/2004
Inactive	AMEX Assurance Company	301728	Agent - Property	9/22/2003	8/2/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	10/2/2003	8/2/2004
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	10/2/2003	8/2/2004