DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goetz-Irwin, Kajeen Michel	DOIID	598146	NAIC NPN	3575203

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	11/22/2004	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	11/9/2004	11/22/2004
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		6/30/2026
* 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	Bullis, Clarence Junior	604488	Apprentice Adjuster - Not Applicable	3/7/2005	4/8/2005
Inactive	Cuffman, Donald Lee	604707	Apprentice Adjuster - Not Applicable	3/9/2005	3/17/2005

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boggs, Gregory William	568365	Apprentice Adjuster - Not Applicable	11/9/2004	11/22/2004