Filing Details

Accession Number:
0001782765-20-000002
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-04-28 16:56:31
Reporting Period:
2020-04-24
Accepted Time:
2020-04-28 16:56:31
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
355379 Midwest Holding Inc. MDTW Life Insurance (6311) 200362426
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1782765 Sachin Goel 622 30Th Street
Peru IL 61354
Yes No 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 2020-04-24 2,222,223 $0.05 2,222,223 No 4 P Indirect Indirect
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect Indirect
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Options $0.05 2021-07-17 2029-07-17 16,666 16,666 Direct
Common Stock Options $0.05 2023-07-17 2029-07-17 33,334 50,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2029-07-17 16,666 16,666 Direct
2029-07-17 33,334 50,000 Direct
Footnotes
  1. The shares were purchased by the Goel Family LTD Partnership II. The general partner is the reporting person's father and the reporting person is one of three limited partners.The reporting person disclaims beneficial ownership of the Midwest Holding Inc. voting common stock held by the limited partnership except to the extent of his pecuniaryinterest therein..