DEPARTMENT OF INSURANCE

Affiliations

Name	Fenneman, Timothy Michael	DOIID	640930	NAIC NPN	8928280

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Adjuster	Independent	10/24/2006	7/2/2008
Inactive	Resident	Apprentice Adjuster	Not Applicable	9/26/2006	10/24/2006
* 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 Mutual Automobile Insurance Company	301732	Adjuster - Independent	7/18/2007	7/2/2008