DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Forrest, Shaft	DOIID	757488	NAIC NPN	16275576

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/6/2011	12/5/2012
Inactive	Non Resident	Agent	Casualty	7/6/2011	12/5/2012
Inactive	Non Resident	Agent	Life	7/6/2011	12/5/2012
* 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	Auto-Owners Insurance Company	301480	Agent - Casualty	1/25/2012	9/25/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	1/25/2012	9/25/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/9/2011	7/11/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/9/2011	7/11/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/15/2011	9/6/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/15/2011	9/6/2012
Inactive	Owners Insurance Company	300796	Agent - Casualty	1/25/2012	9/25/2012
Inactive	Owners Insurance Company	300796	Agent - Property	1/25/2012	9/25/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	8/9/2011	6/22/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	8/9/2011	6/22/2012