DEPARTMENT OF INSURANCE

Name	Fenneman, Timothy Michael	DOIID	640930	NAIC NPN	8928280

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
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.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	State Farm Insurance 1440 Granville Rd PO Box 3020Newark, OH 43058

Phone Information

Type	Phone
Business / Home Office	(740) 364-4922