DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, Kimberly Kay	DOIID	580432	NAIC NPN	7928309

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	11/26/2003	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	11/12/2003	11/26/2003
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Farm Fire and Casualty Company	301809	Adjuster - Independent	7/17/2007	7/1/2010
Active	State Farm Fire and Casualty Company	301809	Staff Adjuster - Property & Casualty	7/1/2010

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gravely, Crystal Lawanda	689784	Apprentice Adjuster - Not Applicable	9/24/2008	10/21/2008
Inactive	Rykens, Richard Patrick	655245	Apprentice Adjuster - Not Applicable	5/10/2007	5/31/2007
Inactive	Wohlheter, Michael Lea	585325	Apprentice Adjuster - Not Applicable	3/3/2004	4/6/2004

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Skidmore, Laura Koppert	557963	Apprentice Adjuster - Not Applicable	11/12/2003	11/26/2003