black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

INDEPENDENT ORDER OF FORESTERS (THE)

INSURANCE COMPANY FRATERNAL

License Number:
FRF29319
Status:
First Licensure:
02/11/1966
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
58068

Street Location:
PRATIBHA CANARAN
789 DON MILLS RD
TORONTO ON M3C 1T9
CANADA
Mailing:
LAW DEPARTMENT
789 DON MILLS RD
TORONTO ON M3C 1T9
CANADA
Phone:
+1 (416) 429-3000
Email:
legalreview@foresters.com

History

License Type Start Date End Date
INSURANCE COMPANY FRATERNAL 07/01/1988 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
DAVID WAYNE ADAMS JR
12/09/2022 PRN299530
GREGORY ALBERT ADAMS
06/29/2007 PRN48279
MARQUISE ADAMS
01/22/2023 PRN357136
DAVID ALBERO
04/10/2024 PRN355503
ANDY SPENCER ALBRIGHT
10/17/2008 PRN80132
ALAIN ALCINDOR
01/23/2025 PRN476033
ASHLEY ALLEN
04/15/2025 PRR510769
CHRIS ALLEN
12/09/2022 PRN348509
RHONDA K. ALLEN
10/11/2022 PRN432948
ALLSTATE FINANCIAL SERVICES LLC
03/25/2024 AGN77646
NELSON P. ALVAREZ
12/04/2022 PRN340356
AMERILIFE MARKETING GROUP LLC
01/10/2011 AGN161789
GREGORY JAMES AUCOIN
11/02/2022 PRR129216
ANNA BABAYAN
06/27/2023 PRR445918
JACOB BACUS
03/05/2025 PRN454096
AMBER N. BARNETT
08/30/2024 PRR491967
NANETTE MAYANGI BAZOLADIO
01/30/2025 PRR382759
JAKE BLAIS
02/22/2024 PRR453667
HOWARD BLUTRICH
04/06/2022 PRN414327
LUKE WILLIAM BOLDIZSAR
03/17/2025 PRN508758
MARY ELIZABETH BOUDREAU
01/30/2025 PRR461054
CHRISTOPHER M. BOURRET
04/20/2023 PRN437654
SAMUEL JOHN BOYNTON
05/11/2023 PRN426692
ETHAN HUNTER BRODELL
02/27/2025 PRN485480
DAMIEN A. BRODIE
12/09/2022 PRN403033
RODNEY REED BROWN
04/28/2025 PRR23518
SHERBY BROWN
07/29/2022 PRN421327
ZACHARY JOHN BROWN
10/25/2024 PRR435163
JOEL BRUDER
12/09/2022 PRN407116
JEFFREY A. BUEHLER
12/09/2022 PRN324395
LISA BUJOL
11/14/2022 PRN393430
SARA BURNETT TUBBS
02/08/2021 PRN373737
CODY ALLEN CAMESI
10/21/2022 PRR434949
WILLIAM F. CAMPBELL
03/27/2025 PRR156121
TAYLOR BRI-ANNE CARDOZA
12/09/2022 PRN396475
CHAD W. CARR
03/25/2021 PRN353823
DWIGHT H. CARTER
01/04/2010 PRN97763
DAVID K. CHAFFEE
08/27/2024 PRR125152
CHIARA CINQUEMANI
12/08/2024 PRN458383
CHAD ANDREW CLARK
10/27/2024 PRN490342
KENNETH MARK CLEMENS
02/15/2008 PRN56030
MATTHEW CLIFTON
12/09/2022 PRN360446
ANDREA COLEMAN
06/08/2023 PRN435538
NICHOLAS ALAN COLLINS
01/22/2023 PRN412021
CONSOLIDATED LIFE PRODUCERS LLC
07/14/2007 AGN75926
CHRISTOPHER DAVID COOKSON
08/12/2024 PRN490789
CALEB COOMBES
11/18/2024 PRN457023
JESSICA MARIE COUTURE
03/03/2024 PRR475114
JACOB CLARK COWART
12/09/2022 PRN403400
VICTORIA ROSE CROWLEY
12/09/2022 PRN394720
LOGAN CUILLA
12/09/2022 PRN422439
COREY MATTHEW DAIGLE
01/30/2025 PRR479384
PHILLIP DANIELEY
12/09/2022 PRN360500
STEPHEN M. DAVIES
08/28/2006 PRN130255
EMILY DAVIS
03/26/2023 PRN429276
DOMINIC DEVITO
01/27/2025 PRN475586
PATRICK DILORENZO
01/04/2019 PRN285667
CHAD JEREMY DION
07/26/2022 PRR113133
HEATHER MAY DION
02/10/2021 PRR243818
NICOLE DOLAN
07/16/2023 PRN453291
DOUGLAS MCLEAN DORR
12/10/2021 PRN353130
JONATHAN DUONG
12/09/2022 PRN323732
DAVID RAY DURAN
01/04/2022 PRN407334
HAROLD SALAMAT DURANA
04/19/2024 PRN442923
NICOLE DURELL
12/09/2022 PRN382342
FAITH EDMONDS
12/09/2022 PRN396953
ISAIAH ELKINS
01/22/2023 PRN407120
CARMEN EVANS
07/28/2023 PRN363571
THOMAS FABIAN
12/09/2022 PRN372073
TYLER DONALD FARRINGTON
05/29/2017 PRR284286
RYAN RICHARD FEDERICO
11/07/2021 PRN390827
ROBERT TATE FICKER
03/05/2025 PRR398790
FINANCIAL BROKERAGE INC
08/06/2007 AGN46482
WILLIAM NICHOLAS FLAGG
08/27/2024 PRR269105
MICHELLE FLANAGAN
09/06/2020 PRN354211
JORDAN SCOTT FLETCHER
01/17/2019 PRN232150
ROBIN J. FLOURNOY
12/09/2022 PRN377461
BRIAN FORD
02/25/2022 PRN346641
JUSTIN MICHAEL FORTIER
06/23/2023 PRR424734
ROBERT ELLIOTT FREER
08/25/2021 PRN360868
KATELYN FUENTES
12/09/2022 PRN364663
LISA GAGNON
01/22/2022 PRN390647
JORDAN LEVENE GAINES
03/09/2025 PRN487793
CHARLES HAMPTON GANE
03/10/2012 PRN121550
DOMINIC A. GARCIA
01/27/2025 PRN506379
LISA MICHELLE GARDNER
04/16/2025 PRN501980
BRENDA GARNICA
12/04/2024 PRN479315
TANNA GARRISON
12/09/2022 PRN411352
ROBERT SCOTT GILLEN
03/09/2025 PRR425976
JOSEPH GIORDANO
04/23/2025 PRN499125
HANS MAGNUS GOLDSTEIN
10/11/2024 PRN495587
ALEXANDER ANTHONY GONZALEZ
12/09/2022 PRN403397
COLTON GOULD
06/10/2023 PRN353830
ELISA GRANT
12/09/2022 PRN407119
GAGE KENNETH GROOMS
03/08/2025 PRN507130
JASON HADDAD
12/12/2024 PRN478769
MICHAEL LEE HAEHL
08/11/2022 PRN426107
WILLIAM HALVORSEN
01/22/2023 PRN371257
JEFFREY MICHAEL HARDER
02/17/2022 PRR120452
JOHN ANTHONY HARRIS
02/25/2022 PRN324873
TYLER J. HARRIS
12/17/2021 PRN403345
JAKE HERSKOVITS
12/09/2022 PRN346413
DANIEL HEUVELINE
02/04/2025 PRR369413
BRENDAN FRANCIS HICKIS
04/30/2025 PRN494170
COLTON GRAEME HOLLAND
09/11/2024 PRR487741
ELISABETH S. HOLLAND
03/15/2023 PRN352266
FLORENCE W. HULL
06/15/2022 PRR309179
AIMEE HYLAND
12/05/2023 PRN421573
SHADE IBE
12/09/2022 PRN373366
LAUREN IRVING
01/22/2023 PRN371241
ALLAN ISLA
12/09/2022 PRN373702
EDMOND JOHNSON
04/30/2021 PRN373233
JEREMY JOHNSON II
05/04/2025 PRN506966
NICHOLAS KAFAF
12/09/2022 PRN363954
DAVID W. KAPLAN
11/11/2009 PRR162346
ANDREW DAVID KAUSLER
03/12/2024 PRN473107
RUSTY CAROL KENDRICK
12/09/2022 PRN366831
JASON K. KHODADADIAN
11/29/2024 PRN398504
MARISSA KIBBEE
04/25/2025 PRN502952
JOHN KIGHT
08/30/2024 PRN492679
DAVID H. KISSER
06/29/2007 PRN84910
KEITH A. KLIMA
06/29/2007 PRN37898
ADAM DANIEL KOTIN
12/09/2022 PRN373798
ROMAN VICTOR KOVAL
06/29/2022 PRN216716
CAMERON JAMES DUBE LABRIE
08/03/2022 PRR392562
ANNA MARIE LALLO
08/31/2022 PRN422247
AMANDA K. LEEPER
11/27/2024 PRN414510
GREGORY LEE LESKO
10/07/2024 PRN474863
ZACHARY S. LEWIS
03/17/2010 PRN145300
LIFEPRO INSURANCE MARKETING INC
08/29/2007 AGN65547
ZACHARY D. LITTLE
03/26/2025 PRN511320
JARRETT LUEHRSEN
08/01/2024 PRN490063
ZHOREEN MALIK
05/22/2023 PRR451423
PETER R. MARTEL
03/12/2018 PRR86361
DULCEY RAE MASTRANGELO
07/24/2024 PRN473134
TREVOR KANE MATHES
03/08/2022 PRN322861
CLAUDIA H. MATHIEU
08/31/2021 PRN390906
LOUIS J. MAUDE
07/10/2023 PRR355169
KELLY MAXWELL
07/18/2023 PRN457128
DAVID J. MCKENNA JR
06/01/2023 PRR39708
FRANK PATRICK MCSHANE
03/10/2025 PRN477802
JESSICA MENA
01/22/2023 PRN401196
LUCA MENNILLO
02/13/2025 PRN506018
GILAD ISAAC MICHILOVICH
12/11/2024 PRR485262
ANDREW FRANCIS MIGNANO
03/19/2024 PRN477984
JASMIN MILLION
09/23/2024 PRN478043
MATTHEW MONACELLI
09/13/2024 PRN481990
JONATHAN MONTELLO
01/22/2023 PRN275974
BRIANNA MARIE MORGAN-RAVIDA
04/24/2024 PRN481257
STEPHEN SAMUEL MORRISON
06/14/2024 PRR480916
LUIS ALBERTO MOYANO
08/07/2024 PRN353464
NICAISE MUFWANKOLO SAMASAMA
11/01/2024 PRR357385
SANDEEP S. MURABIA
12/09/2022 PRN346629
LAURA ALLISON NAUGHTON
04/15/2024 PRN466847
AMANDA NEELY
08/19/2024 PRN325087
KATELYN ELIZABETH NELSON
05/03/2021 PRN382000
ERIC NGAI
01/22/2023 PRN324129
TREVON S. NILES MOORE
03/14/2025 PRN508256
TIMOTHY OWEN NORTH
02/15/2008 PRN97942
DANIEL TAYLOR NUCKLES
07/29/2022 PRN372579
JOHN P. OBERLANDER
03/14/2019 PRN276348
JEREMIAH NATHANIEL ORTIZ
12/10/2024 PRN475785
TARA MICHELLE OSTRANDER
12/09/2022 PRN375850
CARLOS E. OYAGA
12/09/2022 PRN324289
AMBER PACHECO
12/09/2022 PRN403407
ERIN L. PADHAM
11/03/2022 PRR407779
KEVIN PARKER
12/09/2022 PRN377389
PARTNERS ADVANTAGE INSURANCE SERVICES LLC
06/17/2008 AGN100531
CRAIG PATTON
09/15/2022 PRN426656
JAMES PAZZAGLIA
03/18/2024 PRN406829
VIOLET PENUELAS
01/22/2023 PRN368393
MARK PAIGE PERKINS
07/14/2007 PRN21222
MICHAEL RICHARD PERKINS
12/14/2015 PRN261203
MELISSA PESSOTTI
09/10/2023 PRN439887
THOREN PAUL PETERS
05/29/2024 PRR336179
RONALD JAMES PETRINOVICH
09/02/2008 PRN51390
CASEY PFEFFER
07/09/2020 PRN354871
POLICYGENIUS LLC
02/15/2022 AGN248764
BRIAN C. POPE
01/20/2010 PRN72583
JEFF E. POPE
02/14/2018 PRN300531
AMANDA L. PROVENCHER
03/24/2023 PRR406251
ANTHONY A. PROVENZANO
12/09/2022 PRN338325
SOPHIE CECILIA RADTKE
09/18/2023 PRN463350
NORMAN RANCOURT
11/12/2019 PRN343185
MONTE EDWARD REGAL
02/06/2018 PRR297844
TERRY GENE REGISTER
06/29/2007 PRN70986
KARIN SUE REID
12/30/2023 PRN375128
MICHAEL DAVID RESMA
10/10/2024 PRN426340
WAYNETTE RIEKS
12/09/2022 PRN353359
CHRISTOPHER RIPPLE
05/22/2024 PRN482134
DANIEL CALVIN ROBERTS
03/20/2022 PRN409083
MICHAEL ROBINSON
12/09/2022 PRN437082
TYLER ROBINSON
02/18/2025 PRN500984
KIRK CHANDLER RONALDSON
03/30/2021 PRR23948
ASHLEY ROSS
12/09/2022 PRN397970
MICHAEL T. ROTH
08/13/2007 PRN128869
COURTNEY DESHAY ROY
12/09/2022 PRN435901
BRIDGETT LEE RUDISILL
02/26/2024 PRR473360
NICOLE M. RUSSELL
09/25/2024 PRN454810
STEPHANIE SANCHEZ
12/09/2022 PRN392928
LAKE R. SAVAGE-BELLAVANCE
01/22/2022 PRR342439
SARAH SAVAGE-BELLAVANCE
05/24/2023 PRR443718
NICHOLAS SCHLEMPER
04/28/2021 PRN356696
JORDAN SCHREER
02/25/2022 PRN353334
KARL M. SCHUSTER
02/15/2023 PRN228118
JON R. SCHWARTZ
09/06/2021 PRN386844
ALIJAH WORRELL SELVIN
04/20/2025 PRN513559
KENYA SOPHIA SERRANO
01/03/2025 PRN504667
EDWARD LEE SHACKELFORD
06/16/2009 PRN24933
DAVID DON SISLER
04/06/2023 PRN409982
BEAU SLAGUS
12/09/2022 PRN367409
TINA M. SMITH
11/24/2023 PRR466842
WILLIAM HAROLD SMITH
12/09/2022 PRN401206
JESUS SORIANO
01/03/2025 PRN504557
MARK S. SPEAR
02/22/2021 PRN374341
KELLY WOOD SPICER
03/05/2025 PRN468065
RACHELLE CYNTHIA ST SURIN
12/06/2021 PRN295506
DAVID PICKERING STAPLES
09/21/2021 PRR38814
ANTHONY STORER
01/19/2024 PRR420295
DAVID STRATTON
01/22/2023 PRN394727
TRENT A. SULLIVAN
01/23/2025 PRN484746
SUPERIOR PERFORMERS LLC
07/13/2006 AGN94982
ADAM K. SWEATMAN
12/09/2022 PRN372853
SYMMETRY FINANCIAL GROUP LLC
08/24/2021 AGN325690
NICOLE Y-YAN SZETO
04/18/2024 PRN480235
SEBASTIEN NICOLAS TAILLIEU
03/06/2025 PRN506907
BULERI TANGI
04/29/2025 PRR491227
ASHLEY TARR
02/09/2022 PRN403343
NICK JAMES THEODORE
12/20/2022 PRN439295
JONI THOMPSON
12/20/2024 PRN504049
SCOTT DARRYL TIETZ
09/12/2008 PRN104610
JAMIE L. TOLLENSDORF
12/09/2022 PRN404027
TERESA TING TORNAI
01/30/2024 PRN471548
MONIQUE TORRES
10/24/2024 PRN498849
MATTHEW TOWNSEND
12/09/2022 PRN364032
NICHOLAS JAMES TRUDDEN
01/22/2023 PRN346705
GREGORY TSAI
12/09/2022 PRN359314
GEORGE A. TZIKAS
06/24/2020 PRR11598
UNITED INSURANCE GROUP AGENCY INC
04/24/2009 AGN56061
RAYMOND L. VALLEE JR
01/10/2011 PRR16769
LUCAS GRANT VANDENBERG
02/11/2008 PRN134454
JASON CHRISTOPHER VANDOUSER
12/09/2022 PRN356087
ALYSSA CHRISTINE VEGA
02/17/2025 PRN438721
REGINA VEITENHEIMER
06/13/2022 PRN420514
JAMES DANFORTH WADLEIGH II
05/09/2025 PRN514666
MIKAYLA CLAIRE WEEKS
12/18/2024 PRN500618
RAYMOND J. WELLS
12/20/2019 PRR346344
JOHN E. WHITE JR
11/15/2021 PRN309478
MARK WILLIS
05/08/2018 PRN301139
JUSTIN CURTIS WILSON
05/25/2024 PRN473099
KYLE JOHN WINEBRENNER
08/25/2006 PRN130386
JESSICA L. WUERZ
05/18/2016 PRN267405
CARRIE ELIZABETH WYSONG
06/02/2022 PRN416799
EDWIN XUE
12/09/2022 PRN364041
LAUREN ZENNA
12/09/2022 PRN398565

Authority

Description Issue Date Termination Date Status
LIFE 03/01/1996 Active
HEALTH 03/01/1996 Active
HEALTH 01/01/1901 07/31/1995 Terminated
LIFE AND HEALTH 01/01/1901 03/01/1996 Terminated
LIFE 01/01/1901 07/31/1995 Terminated

Contacts

Type Contact
SERVICE OF PROCESS CORPORATE CREATIONS NETWORK INC.
MERRILLS WHARF
254 COMMERCIAL ST STE 245
PORTLAND, ME 04101-4899
Phone: +1 (207) 512-2677
Fax: +1 (561) 694-1639
Email: govdocs@corporatecreations.com
PRODUCER LICENSING CONTACT KELLEY COX
KELLEY COX
PO BOX 179
BUFFALO, NY 14201-0179
Phone: +1 (416) 429-3000 x4069
Email: kcox@foresters.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

Other Phone Numbers

Phone Number Type
+1 (800) 524-3611 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: 05/18/2025 01:04:46 PM