DEPARTMENT OF INSURANCE

Affiliations

Name	Shultz, Dale Randall	DOIID	623746	NAIC NPN	1453785

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/27/2006	4/30/2018
Inactive	Non Resident	Agent	Health	1/27/2006	4/30/2018
Inactive	Non Resident	Agent	Casualty	1/27/2006	4/30/2018
Inactive	Non Resident	Agent	Property	1/27/2006	4/30/2018
* 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	Allstate Indemnity Company	300778	Agent - Casualty	9/12/2017	4/20/2018
Inactive	Allstate Indemnity Company	300778	Agent - Property	9/12/2017	4/20/2018
Inactive	Allstate Insurance Company	300773	Agent - Casualty	9/12/2017	4/20/2018
Inactive	Allstate Insurance Company	300773	Agent - Property	9/12/2017	4/20/2018
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	9/12/2017	4/20/2018
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	9/12/2017	4/20/2018
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	9/12/2017	4/20/2018
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	9/12/2017	4/20/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/23/2011	4/30/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/23/2011	4/30/2018
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	3/21/2006	1/12/2010
Inactive	Hallmark National Insurance Company	300494	Agent - Property	3/21/2006	1/12/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/13/2006	6/8/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/8/2006	4/30/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/8/2006	4/30/2018
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	3/31/2006	12/2/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	3/31/2006	12/2/2013
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	3/21/2006	1/12/2010
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	3/21/2006	1/12/2010
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/21/2006	1/12/2010
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	3/21/2006	1/12/2010
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/8/2006	4/30/2018
Inactive	United Financial Casualty Company	301886	Agent - Property	3/8/2006	4/30/2018
Inactive	West Bend Insurance Company	672974	Agent - Casualty	6/23/2014	1/22/2018
Inactive	West Bend Insurance Company	672974	Agent - Property	6/23/2014	1/22/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Friendship Financial Services LLC	612081	Agent - Casualty	3/15/2006	4/30/2018
Denied	Friendship Financial Services LLC	612081	Agent - Health
Denied	Friendship Financial Services LLC	612081	Agent - Life
Inactive	Friendship Financial Services LLC	612081	Agent - Property	3/15/2006	4/30/2018