Filing Details

Accession Number:
0001644578-19-000003
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2019-06-05 16:14:58
Reporting Period:
2017-03-09
Accepted Time:
2019-06-05 16:14:58
Original Submission Date:
2017-03-13
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1502292 Conifer Holdings Inc. CNFR Fire, Marine & Casualty Insurance (6331) 271298795
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1644578 Andrew Petcoff 550 W. Merrill Street
Suite 200
Birmingham MI 48009
Svp, Marketing No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2017-03-09 561 $6.99 98,920 No 4 P Direct
Common Stock Acquisiton 2017-03-10 2,510 $7.25 101,430 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 P Direct
Footnotes
  1. The original Form 4, filed on March 13, 2017, is being amended by this Form 4 amendment solely to correct an administrative error, which misreported a purchase that occurred on March 10, 2017 as a total of 2,570 shares purchased when in fact 2,510 shares of the Issuer's common stock were purchased. As a result of this administrative error, the number of shares beneficially owned by the reporting person following the corrected transaction reflects a reduction in the number of shares reported as beneficially owned by the reporting person by 60 shares.