DEPARTMENT OF INSURANCE

Affiliations

Name	Bourne, Sherry Lynn	DOIID	588619	NAIC NPN	8056759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	6/8/2004	4/30/2026
Active	Resident	Agent	Casualty	6/8/2004	4/30/2026
* 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	American Fire and Casualty Company	300567	Agent - Casualty	9/9/2004	4/12/2011
Inactive	American Fire and Casualty Company	300567	Agent - Property	9/9/2004	4/12/2011
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	4/9/2007	12/7/2011
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/30/2004	4/12/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/30/2004	4/12/2011
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/16/2005	6/22/2011
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/16/2005	6/22/2011
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/16/2005	6/22/2011
Inactive	Grange Insurance Company	300234	Agent - Property	5/16/2005	6/22/2011
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/7/2008	6/22/2011
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/7/2008	6/22/2011
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/30/2004	4/12/2011
Inactive	Indiana Insurance Company	301909	Agent - Property	7/30/2004	4/12/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/30/2004	4/12/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/30/2004	4/12/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/9/2004	4/12/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	9/9/2004	4/12/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/9/2004	4/12/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/9/2004	4/12/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/30/2004	4/12/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	7/30/2004	4/12/2011
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	6/20/2011
Active	State Farm Fire and Casualty Company	301809	Agent - Property	6/20/2011
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	6/20/2011
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/16/2005	6/22/2011
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/16/2005	6/22/2011
Inactive	West American Insurance Company	301112	Agent - Casualty	9/9/2004	4/12/2011
Inactive	West American Insurance Company	301112	Agent - Property	9/9/2004	4/12/2011
Inactive	West Bend Insurance Company	672974	Agent - Casualty	3/3/2011	6/23/2011
Inactive	West Bend Insurance Company	672974	Agent - Property	3/3/2011	6/23/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Al Torstrick Insurance Agency, LLC	400026	Agent - Casualty	8/3/2004	4/18/2011
Inactive	Al Torstrick Insurance Agency, LLC	400026	Agent - Property	8/3/2004	4/18/2011