DEPARTMENT OF INSURANCE

Name	Foster, Shane M	DOIID	683172	NAIC NPN	9003125

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Personal Lines	7/1/2008	5/18/2009
Active	Non Resident	Staff Adjuster	Property & Casualty	1/5/2022		10/31/2024	Florida

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Staff Adjuster	08/15/2024	10/31/2024

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	Berkley Agribusiness 11201 Douglas AveUrbandale, IA 50322

Internet Information

Type	Address
Internet	nationwide.com

Phone Information

Type	Phone
Business / Home Office	(515) 473-3643