DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, W. D.	DOIID	584012	NAIC NPN	1764272

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	5/17/2004	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	2/6/2004	5/17/2004
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	6/1/2023
* 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
Inactive	State Farm Fire and Casualty Company	301809	Staff Adjuster - Property & Casualty	7/1/2010	6/1/2023

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Branstool, Robin L	593138	Apprentice Adjuster - Not Applicable	7/28/2004	4/12/2005
Inactive	Kaetzel, Edward Michael	593435	Apprentice Adjuster - Not Applicable	8/4/2004	8/26/2004
Inactive	Logan, Coleena R	593136	Apprentice Adjuster - Not Applicable	7/30/2004	8/26/2004
Inactive	Russell, Kevin Eugene	592657	Apprentice Adjuster - Not Applicable	7/19/2004	7/19/2005
Inactive	Vaughn, Tony N	593098	Apprentice Adjuster - Not Applicable	7/28/2004	9/22/2004
Inactive	Winegardner, Summer Lynn	592665	Apprentice Adjuster - Not Applicable	7/19/2004	8/26/2004

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Skidmore, Laura Koppert	557963	Apprentice Adjuster - Not Applicable	2/6/2004	5/17/2004