DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Lisa Renee	DOIID	588305	NAIC NPN	5748182

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/22/2004	7/31/2008
Inactive	Non Resident	Agent	Property	4/22/2004	7/31/2008
* 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	Dairyland Insurance Company	301370	Agent - Casualty	5/26/2004	2/17/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/16/2004	8/12/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/16/2004	8/12/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/20/2006	7/30/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/20/2006	7/30/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/20/2006	8/7/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/20/2006	8/7/2008
Inactive	United Financial Casualty Company	301886	Agent - Casualty	7/20/2006	7/30/2008
Inactive	United Financial Casualty Company	301886	Agent - Property	7/20/2006	7/30/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	12/13/2004	7/31/2008
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Property	12/13/2004	7/31/2008