Filing Details

Accession Number:
0000905729-23-000186
Form Type:
4
Zero Holdings:
No
Publication Time:
2023-12-22 14:08:10
Reporting Period:
2023-12-20
Accepted Time:
2023-12-22 14:08:10
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
1943122 W Gerald Hakala 550 W. Merrill Street, Suite 200
Birmingham MI 48009
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
Series A Preferred Stock Acquisiton 2023-12-20 1,000 $6,000.00 1,000 No 4 P Indirect Held by Clarkson 91 West LLC
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect Held by Clarkson 91 West LLC
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 3,635,769 Indirect Held by Clarkson Ventures, LLC
Footnotes
  1. The shares are held directly by Clarkston 91 West LLC ("C91") and indirectly by Mr. Hakala as a shareholder of the parent company of C91. Mr. Hakala disclaims beneficial ownership in the shares held by C91 except to the extent of his pecuniary ownership therein.
  2. The shares are held directly by Clarkston Ventures, LLC ("CV") and indirectly by Mr. Hakala as a partner of CV. Mr. Hakala disclaims beneficial ownership in the shares held by CV except to the extent of his pecuniary ownership therein.