4//SEC Filing
BRATTON DOUGLAS K 4
Accession 0000899243-20-021314
CIK 0000355379other
Filed
Aug 3, 8:00 PM ET
Accepted
Aug 4, 9:15 PM ET
Size
13.6 KB
Accession
0000899243-20-021314
Insider Transaction Report
Form 4
BRATTON DOUGLAS K
Director10% Owner
Transactions
- Award
Stock Option (right to buy)
2020-07-31+50,000→ 50,000 total(indirect: See Footnotes)Exercise: $0.05Exp: 2020-07-31→ Voting Common Stock (50,000 underlying)
CRESTLINE ASSURANCE HOLDINGS LLC
Director10% Owner
Transactions
- Award
Stock Option (right to buy)
2020-07-31+50,000→ 50,000 total(indirect: See Footnotes)Exercise: $0.05Exp: 2020-07-31→ Voting Common Stock (50,000 underlying)
Crestline Investors, Inc.
Director10% Owner
Transactions
- Award
Stock Option (right to buy)
2020-07-31+50,000→ 50,000 total(indirect: See Footnotes)Exercise: $0.05Exp: 2020-07-31→ Voting Common Stock (50,000 underlying)
Crestline Management, LP
Director10% Owner
Transactions
- Award
Stock Option (right to buy)
2020-07-31+50,000→ 50,000 total(indirect: See Footnotes)Exercise: $0.05Exp: 2020-07-31→ Voting Common Stock (50,000 underlying)
Footnotes (3)
- [F1]Non-Qualified Stock Options granted under the Midwest Holding Inc. 2019 Long-Term Incentive Plan to Douglas K. Bratton for his service on the Board of Directors (the "Board") of Midwest Holding Inc. (the "Issuer"). The Non-Qualified Stock Options vest as follows: (i) 25,000 Options shall vest on July 31, 2022; and (ii) 25,000 Options shall vest on July 31, 2024, in each case subject to Mr. Bratton's continued service on the Issuer's Board.
- [F2]Mr. Bratton serves on the Issuer's Board as a representative of Crestline Assurance Holdings LLC ("Crestline Assurance") and its affiliates. Mr. Bratton holds the Options reported herein for the benefit of Crestline Assurance and as a result does not have any direct pecuniary interest in such Options. Mr. Bratton may be deemed to have an indirect pecuniary interest in a portion of the Options through indirect membership interests in Crestline Assurance. The Manager of Crestline Assurance is Mr. Bratton and the Sole Member of Crestline Assurance is Crestline Management, L.P. ("Crestline Management"). Crestline Investors, Inc. ("Crestline") is the general partner of Crestline Management. Mr. Bratton is the sole director of Crestline. Crestline Management, Crestline and Mr. Bratton may each be deemed to beneficially own the securities beneficially owned by Crestline Assurance.
- [F3](Continued from Footnote 2) Each such entity and Mr. Bratton disclaims beneficial ownership of such securities except to the extent of its or his respective pecuniary interest therein.
Issuer
MIDWEST HOLDING INC.
CIK 0000355379
Entity typeother
Related Parties
1- filerCIK 0001281933
Filing Metadata
- Form type
- 4
- Filed
- Aug 3, 8:00 PM ET
- Accepted
- Aug 4, 9:15 PM ET
- Size
- 13.6 KB