black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACK BRISTOR

PRODUCER NON-RESIDENT

License Number:
PRN518260
Status:
First Licensure:
06/13/2025
Cancel Date:
None

Mailing:
LITCHFIELD PARK, AZ 85340
Phone:
+1 (888) 244-2040
Email:
jd.bristor2@farmersinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/13/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
FX INSURANCE AGENCY LLC
06/23/2025 AGN134746

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
06/18/2025 PCF78370
FARMERS CASUALTY INSURANCE COMPANY
06/17/2025 PCF895
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
06/17/2025 PCF267721
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
06/17/2025 PCF714
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/18/2025 PCF445
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
06/18/2025 PCF37337

Authority

Description Issue Date Termination Date Status
CASUALTY 06/13/2025 Active
PROPERTY 06/13/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9872569

Other Addresses

Address Type
FX INSURANCE AGENCY LLC
24000 N FARMERS WAY
PHOENIX, AZ 85085-2013
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 11/21/2025 07:11:36 AM