DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Donald Jay	DOIID	586166	NAIC NPN	3575597

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	5/14/2004	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	3/11/2004	5/14/2004
Inactive	Resident	Staff Adjuster	Property & Casualty	7/1/2010	1/31/2015
* 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	1/31/2015

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Skidmore, Laura Koppert	557963	Apprentice Adjuster - Not Applicable	3/11/2004	5/14/2004