Filing Details

Accession Number:
0001209191-21-070307
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-12-17 16:47:58
Reporting Period:
2021-12-15
Accepted Time:
2021-12-17 16:47:58
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1502292 Conifer Holdings Inc. CNFR () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1115666 G James Petcoff 550 W. Merrill Street
Suite 200
Birmingham MI 48009
Chairman And Ceo Yes Yes Yes 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 2021-12-15 5,300 $2.33 17,771 No 4 P Indirect PH Real Estate, LLC
Common Stock Acquisiton 2021-12-16 200 $2.39 17,971 No 4 P Indirect PH Real Estate, LLC
Common Stock Acquisiton 2021-12-17 3,564 $2.34 21,535 No 4 P Indirect PH Real Estate, LLC
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect PH Real Estate, LLC
No 4 P Indirect PH Real Estate, LLC
No 4 P Indirect PH Real Estate, LLC
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 2,148,607 Indirect James G. Petcoff Rev Trust
Common Stock 480,278 Direct
Footnotes
  1. This transaction was executed in multiple trades at prices ranging from $2.30 to $2.37. 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.
  2. 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.
  3. This transaction was executed in multiple trades at prices ranging from $2.29 to $2.38. 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.
  4. 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.