4//SEC Filing
PETCOFF JAMES G 4
Accession 0001209191-22-030929
CIK 0001502292other
Filed
May 19, 8:00 PM ET
Accepted
May 20, 3:08 PM ET
Size
7.0 KB
Accession
0001209191-22-030929
Insider Transaction Report
Form 4
PETCOFF JAMES G
DirectorChairman and CEO10% Owner
Transactions
- Purchase
Common Stock
2022-05-19$1.50/sh+3,008$4,510→ 24,543 total(indirect: By LLC)
Holdings
- 2,148,607(indirect: By Trust)
Common Stock
- 480,275
Common Stock
Footnotes (3)
- [F1]This transaction was executed in multiple trades at prices ranging from $1.49 to $1.50. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- [F2]These shares are owned by PH Real Estate, LLC, a Michigan limited liability company. Mr. James G. Petcoff and his spouse have a majority interest in PH Real Estate, LLC and have the sole power to vote and dispose of all shares owned by PH Real Estate, LLC.
- [F3]These shares are owned indirectly by Mr. Petcoff as trustee of the James G. Petcoff Revocable Trust. Mr. Petcoff is Chairman, CEO and a director of the issuer.
Documents
Issuer
Conifer Holdings, Inc.
CIK 0001502292
Entity typeother
Related Parties
1- filerCIK 0001115666
Filing Metadata
- Form type
- 4
- Filed
- May 19, 8:00 PM ET
- Accepted
- May 20, 3:08 PM ET
- Size
- 7.0 KB